DALE POORTENGA

HAMMOND, IN
NPI1265248504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71016085A)
Enumeration Date2024-12-10
Last Update Date2024-12-10
Business Address
DALE POORTENGA FNP
MIDWEST EXPRESS CLINIC 31 SIBLEY ST STE A
HAMMOND, IN 46320
Phone number: 219-802-8800
Mailing Address
DALE POORTENGA FNP
MIDWEST EXPRESS CLINIC 31 SIBLEY ST STE A
HAMMOND, IN 46320
Phone number: 219-802-8800
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