Individual
TINA CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1400 S LAKE PARK AVE, HOBART, IN 46342-6790
(219) 942-8620
Mailing address
1400 S LAKE PARK AVE, HOBART, IN 46342-6790
(219) 942-8620
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000281A
IN
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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