Individual
DR. TERRY CHRISTOPHER EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 STATE ST, LA PORTE, IN 46350-3112
(219) 326-1234
(317) 324-1012
Mailing address
1331 STATE ST, LA PORTE, IN 46350-3112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01076196A
IN
207L00000X
Anesthesiology Physician
4301100733
MI
Other
Enumeration date
06/21/2012
Last updated
04/25/2025
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