Individual
NATHANIEL T DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 S MAIN ST, SUITE A, GOSHEN, IN 46526-5232
(574) 535-9100
(574) 535-1020
Mailing address
2006 S MAIN ST, SUITE A, GOSHEN, IN 46526-5232
(574) 535-9100
(574) 535-1020
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01054200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331130
—
IN
Enumeration date
08/26/2005
Last updated
07/15/2024
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