GLENN A MANDEVILLE

TERRE HAUTE, IN
NPI1942318795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  01041222A)
Enumeration Date2006-08-29
Last Update Date2013-03-14
Business Address
-- GLENN A MANDEVILLE M.D.
1429 N 6TH ST
TERRE HAUTE, IN 47807-1037
Phone number: 812-242-3110
Mailing Address
-- GLENN A MANDEVILLE M.D.
221 S 6TH ST
TERRE HAUTE, IN 47807-4214
Phone number: 812-242-3110
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