GARRETT H BASTIN

ROANOKE, IN
NPI1548837255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02006843A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  11021719A)
Enumeration Date2021-06-10
Last Update Date2024-09-26
Business Address
GARRETT H BASTIN DO
10101 ERNST RD STE 1200
ROANOKE, IN 46783-9711
Phone number: 260-234-5400
Mailing Address
GARRETT H BASTIN DO
750 BROADWAY STE 350
FORT WAYNE, IN 46802-1412
Phone number: 260-423-2675
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