Individual
TRISHA IMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
226 W US HIGHWAY 20 STE B, MIDDLEBURY, IN 46540-9713
(574) 825-2211
(574) 825-2212
Mailing address
226 W US HIGHWAY 20 STE B, MIDDLEBURY, IN 46540-9713
(574) 825-2211
(574) 825-2212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01071185A
IN
207Q00000X
Family Medicine Physician
Primary
57-011890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57-011890
TRAINING LICENSE NUMBER
OH
Enumeration date
05/15/2007
Last updated
01/16/2026
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