NATHAN DANA WAVLE

BLOOMINGTON, IN
NPI1811422215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  01084167B)
Enumeration Date2017-04-24
Last Update Date2020-07-24
Business Address
NATHAN DANA WAVLE
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-9515
Mailing Address
NATHAN DANA WAVLE
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-9515
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EMERGENCY MEDICINE PROFESSIONALS OF INDIANA LLC