SearchIndiana252Y00000X

Mackenna Vandertuin

NPI 1447872197 · on the registry since 2020 · sole proprietor

Practice

Address
400 11th Circle Se
Demotte, IN 46310
Phone
(219) 742-7641

Registry record

Primary taxonomy
252Y00000X
252Y00000X
Sex
Female
Record last updated
2020-05-15

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