Individual
LINDA M TAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1388 W US HIGHWAY 136, CRAWFORDSVILLE, IN 47933-6108
(765) 364-0480
(765) 364-0904
Mailing address
1388 W US HIGHWAY 136, CRAWFORDSVILLE, IN 47933-6108
(765) 364-0480
(765) 364-0904
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01024648
IN
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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