WALTER RAUL OSORIO

SOUTH BEND, IN
NPI1811608334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: IN  71013751A)
Enumeration Date2022-12-06
Last Update Date2023-06-01
Business Address
WALTER RAUL OSORIO
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601-1075
Phone number: 574-647-5875
Mailing Address
WALTER RAUL OSORIO
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129