NPI 1104847664

Norman S. Waggy, MD

Practitioner Family Medicine Physician Middlebury, IN

Practice location

Address: 206 W. Warren Street, Middlebury, IN 46540-0459
Phone: (574) 825-2146
Fax: (574) 825-2182
Mailing address: PO Box 459, Middlebury, IN 46540-0459

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01030282A (IN)

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Registry record

NPI: 1104847664
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2006
Record last updated: 5 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.