Individual
ERIC EUGENE SPOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
990 ILLINOIS ST, PLYMOUTH, IN 46563-3622
(574) 936-9646
Mailing address
10176 HEATHER LAKE DR, OSCEOLA, IN 46561-8897
(574) 855-7789
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71011771A
IN
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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