Individual
DALLAS M HUNSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2118 MILBURN BLVD, MISHAWAKA, IN 46544-4521
(574) 339-5449
Mailing address
2118 MILBURN BLVD, MISHAWAKA, IN 46544-4521
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
2000570A
IN
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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