Organization · Type 2 NPI
Community Health Clinic Inc
Clinical Genetics (M.D.) Physician · Shipshewana, IN
NPI number
1457692972
Active
Practice location
730 E. North Street
Shipshewana, IN 46565
Fax (260) 593-0116
Mailing address
PO Box 329
Shipshewana, IN 46565-0329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Genetics (M.D.) Physician Primary | 207SG0201X | None listed |
| Pediatrics Physician | 208000000X | None listed |
Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
About NPI 1457692972
Community Health Clinic Inc's National Provider Identifier is 1457692972, issued on Mar 7, 2013. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Shipshewana, IN. The record was last updated on Oct 20, 2023.