Individual
DR. AMANDA LAUREN TER DOEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3418
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02008622A
IN
207R00000X
Internal Medicine Physician
34.016811
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492194
—
OH
05
—
300119655
—
IN
Enumeration date
05/05/2022
Last updated
10/17/2025
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