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Individual

DAVID ANDREW HORMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
(812) 473-2642
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01032803
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100327090
IN
Enumeration date
07/18/2006
Last updated
12/19/2018
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