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Andrew J Mandery Md Llc
Clinic/Center in Kokomo, Indiana
NPI 1922294115

Andrew J Mandery Md Llc is a Clinic/Center based in Kokomo, IN. Andrew J Mandery Md Llc practices in Kokomo, IN. The NPI Number for Andrew J Mandery Md Llc is 1922294115 and holds a License No. (Indiana).

The current practice location address for Andrew J Mandery Md Llc is 1948 W Boulevard, Kokomo, IN and can be reached out via phone at 765-236-1290 and via fax at 765-236-0420.

Location: 1948 W Boulevard, Kokomo, IN, 46902-6078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922294115
Provider Name
Andrew J Mandery Md Llc
Credential
Provider Entity Type
Organization
Address
1948 W Boulevard, Kokomo, IN, 46902-6078
Phone Number
765-236-1290
Fax Number
765-236-0420
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
148380 01 MEDICARE PROVIDER NO.
institution
Provider Business Practice Location Address Details
Address
1948 W Boulevard
City
Kokomo
State
Indiana
Zip
46902-6078
Phone Number
765-236-1290
Fax Number
765-236-0420
person
Provider Business Mailing Address Details
Address
1948 W Boulevard
City
Kokomo
State
Indiana
Zip
46902-6078
Phone Number
765-236-1290
Fax Number
765-236-0420
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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