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Dr. William T. Correll, DO
Family Medicine Physician in Plymouth, Indiana
NPI 1154371581

William T. Correll is a Family Medicine Physician based in South Bend, IN. William T. Correll practices in Plymouth, IN and has the professional credentials of DO. The NPI Number for William T. Correll is 1154371581 and holds a License No. 5101014163DO (Indiana).

The current practice location address for William T. Correll is 1919 Lake Ave Ste 106, Plymouth, IN and can be reached out via phone at 574-335-5220 and via fax at 574-335-0859.

Location: 1919 Lake Ave Ste 106, Plymouth, IN, 46617-2054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154371581
Provider Name
William T. Correll
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1919 Lake Ave Ste 106, Plymouth, IN, 46617-2054
Phone Number
574-335-5220
Fax Number
574-335-0859
Provider Enumeration Date
05/10/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300082849 05 IN
4849184 05 MI
4849193 05 MI
1022813 01 MI MHP HAN INDIVIDUAL
4963714 05 MI
080D410020 01 MI BDBSM COM BLUE
4849166 05 MI
1022851 01 MI MHP HAN GROUP
institution
Provider Business Practice Location Address Details
Address
1919 Lake Ave Ste 106
City
Plymouth
State
Indiana
Zip
46563-7830
Phone Number
574-335-5220
Fax Number
574-335-0859
person
Provider Business Mailing Address Details
Address
1919 Lake Ave Ste 106
City
Plymouth
State
Indiana
Zip
46563-7830
Phone Number
574-335-5220
Fax Number
574-335-0859
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
5101014163 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101014163DO (Michigan)
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.
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