Organization
IN MIND & BODY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN WALDO (OWNER)
(773) 520-1950
Entity
Organization
Contact information
Practice address
337 W 806 N, VALPARAISO, IN 46385-7973
(773) 520-1950
Mailing address
337 W 806 N, VALPARAISO, IN 46385-7973
(773) 520-1950
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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