SearchIndiana363A00000X

Brianna Latisnere-Blosser

NPI 1053143164 · on the registry since 2024

Practice

Address
2006 S Main St Ste A
Goshen, IN 46526
Phone
(574) 535-9100
Fax
(574) 535-1020
Organisation at this address
Gerig Surgical Associates Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Additional practice sites

  • 200 High Park Ave, Goshen, IN

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana