Canonical ID: us-medin-39f4b6fd6fbd364dffd4d1aa02070386c4166b71
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | Kokomo, IN | eng | us_in_med_exclusions | us-medin-39f4b6fd6fbd364dffd4d1aa02070386c4166b71 | |||
LegalEntity:address | Burlington, IN | eng | us_in_med_exclusions | us-medin-39f4b6fd6fbd364dffd4d1aa02070386c4166b71 | |||
LegalEntity:country | us | eng | us_in_med_exclusions | us-medin-39f4b6fd6fbd364dffd4d1aa02070386c4166b71 | |||
LegalEntity:id | f9f26a6e5e3b40cc969f92a3f41f3644ced27fdb | eng | us_in_med_exclusions | us-medin-39f4b6fd6fbd364dffd4d1aa02070386c4166b71 | |||
LegalEntity:name | Don J. Wagoner, MD | eng | us_in_med_exclusions | us-medin-39f4b6fd6fbd364dffd4d1aa02070386c4166b71 | |||
LegalEntity:npiCode | 1285614511 | eng | us_in_med_exclusions | us-medin-39f4b6fd6fbd364dffd4d1aa02070386c4166b71 |