Individual
JEREMIAH L ASHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
974 S REDBUD DR, LA PORTE, IN 46350-2837
(317) 679-1792
Mailing address
974 S REDBUD DR, LA PORTE, IN 46350-2837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01073622A
IN
Other
Enumeration date
06/16/2011
Last updated
06/24/2024
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