Head And Neck Diagnostic Associates, P.c. | |
331 E Amsler Rd Rensselaer IN 47978-8591 | |
(800) 711-8885 | |
(219) 866-8658 |
Full Name | Head And Neck Diagnostic Associates, P.c. |
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Speciality | Dentist |
Location | 331 E Amsler Rd, Rensselaer, Indiana |
Authorized Official Name and Position | Raymond Gordon Klockow (PRESIDENT) |
Authorized Official Contact | 8007118885 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Head And Neck Diagnostic Associates, P.c. 331 E Amsler Rd Rensselaer IN 47978-8591 Ph: (800) 711-8885 | Head And Neck Diagnostic Associates, P.c. 331 E Amsler Rd Rensselaer IN 47978-8591 Ph: (800) 711-8885 |
NPI Number | 1205884079 |
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Provider Enumeration Date | 05/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205884079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 54000437 (Indiana) | Primary |
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