Individual
TESS MARIE BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6920 GATWICK DR STE 200, INDIANAPOLIS, IN 46241
(317) 455-1064
(317) 455-1204
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(317) 455-1064
(317) 455-1204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002761A
IN
363A00000X
Physician Assistant
5601007808
MI
Other
Enumeration date
06/03/2016
Last updated
09/09/2024
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