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Individual

AMBER DAWN TRUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT, CLT-LANA

Contact information

Practice address
701 ORTHOPAEDIC DR, WARSAW, IN 46582-3904
(574) 371-2680
(574) 371-2681
Mailing address
701 ORTHOPAEDIC DR, WARSAW, IN 46582-3904
(574) 371-2680
(574) 371-2681

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05008322A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000215756
ANTHEM PIN NUMBER
IN
Enumeration date
07/21/2005
Last updated
05/21/2026
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