Individual
JAMES ALAN HANDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
206 W WARREN ST, MIDDLEBURY, IN 46540-9410
(574) 825-2146
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(547) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007362A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039079
—
IN
Enumeration date
04/05/2020
Last updated
08/30/2023
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