Individual
MICHAEL PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 E MARKET ST, CLOVERDALE, IN 46120-8427
(765) 795-4242
(765) 217-2100
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2297
(765) 301-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28181189A
IN
363L00000X
Nurse Practitioner
71005703A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005703A
IN
Other
Enumeration date
07/21/2015
Last updated
07/08/2025
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