Search › Indiana › 390200000X
Cooper Parish
NPI 1265261770 · on the registry since 2024
Practice
- Address
- 3851 N Etna Rd
Columbia City, IN 46725 - Phone
- (260) 229-7407
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2024-08-01
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