HARRISON GLEN WALTER

SOUTH BEND, IN
NPI1871176263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71013828A)
Enumeration Date2021-05-03
Last Update Date2023-06-02
Business Address
HARRISON GLEN WALTER APRN
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601-1075
Phone number: 574-647-5875
Mailing Address
HARRISON GLEN WALTER APRN
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129
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