Individual
DR. VERLIN T. HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2102 N. MAIN STREET, NAPPANEE, IN 46550-9310
(574) 862-2165
(574) 862-4112
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01030219A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100382520
—
IN
01
—
236040019
MEDICARE PTAN
IN
Enumeration date
07/15/2005
Last updated
11/09/2021
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