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Individual

PATRICK DAVID WEMPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
7300 E INDIANA ST, STE 102, EVANSVILLE, IN 47715-2794
(812) 476-0409
(812) 476-1016
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 476-0409
(812) 401-3259

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005219
KY
225100000X
Physical Therapist
Primary
05002356A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000092829
BLUE CROSS BLUE SHIELD
IN
05
200839300
IN
Enumeration date
12/01/2005
Last updated
09/01/2020
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