Individual
ENRIQUE EDUARDO INFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LAWN AVE, SUITE 100, ELKHART, IN 46514-2450
(574) 293-2893
(574) 293-1298
Mailing address
PO BOX 1887, ELKHART, IN 46515-1887
(574) 389-0542
(574) 522-8505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01065587A
IN
207V00000X
Obstetrics & Gynecology Physician
4301084601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000573936
BCBS
IN
01
—
000000702255
ANTHEM - WCCC
IN
05
—
200908830
—
IN
Enumeration date
11/16/2005
Last updated
07/19/2011
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