Individual
MR. MITCHELL STEVEN MOLENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3290
(219) 326-1234
(219) 326-2699
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28176910A
IN
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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