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Main Street Clinic
Pediatric Adolescent Medicine Physician in Bluffton, Indiana
NPI 1093217846

Main Street Clinic is a Pediatric Adolescent Medicine Physician based in Bluffton, IN and is specialized in Adolescent Medicine. Main Street Clinic practices in Bluffton, IN. The NPI Number for Main Street Clinic is 1093217846 and holds a License No. 01034958 (Indiana).

The current practice location address for Main Street Clinic is 117 S Main St, Bluffton, IN and can be reached out via phone at 260-824-9265 and via fax at 260-824-9267.

Location: 117 S Main St, Bluffton, IN, 46714-2047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093217846
Provider Name
Main Street Clinic
Credential
Provider Entity Type
Organization
Address
117 S Main St, Bluffton, IN, 46714-2047
Phone Number
260-824-9265
Fax Number
260-824-9267
Provider Enumeration Date
03/07/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100101710A 05 IN
institution
Provider Business Practice Location Address Details
Address
117 S Main St
City
Bluffton
State
Indiana
Zip
46714-2047
Phone Number
260-824-9265
Fax Number
260-824-9267
person
Provider Business Mailing Address Details
Address
117 S Main St
City
Bluffton
State
Indiana
Zip
46714-2047
Phone Number
260-824-9265
Fax Number
260-824-9267
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01034958 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
01034958 (Indiana)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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