Individual
JONATHAN D CONDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
(765) 286-4124
Mailing address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
(765) 286-4124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000876
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100190430
—
IN
Enumeration date
11/01/2006
Last updated
03/20/2021
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