JOHNATHON PATRICK SHAFFER

BLOOMINGTON, IN
NPI1598129678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN  01085483A)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: CA  A167677)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-05
Last Update Date2024-07-30
Business Address
JOHNATHON PATRICK SHAFFER MD
583 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5515
Phone number: 812-676-4460
Mailing Address
JOHNATHON PATRICK SHAFFER MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: