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Individual

DR. J. CHRISTOPHER SHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
151 E BOW ST, THORNTOWN, IN 46071-1164
(765) 436-2400
(765) 436-7375
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622
(765) 485-8852
(765) 485-8669

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01046198
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200126160
IN
Enumeration date
09/30/2005
Last updated
07/21/2022
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