Individual
EDWARD RESENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Mailing address
PO BOX 151, DECATUR, IN 46733-0151
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003291A
IN
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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