Individual
ANDREA R EDMISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
100 NAVARRE PL, STE 4460, SOUTH BEND, IN 46601-1168
(574) 235-1010
(574) 232-2064
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300072519
—
IN
Enumeration date
10/01/2009
Last updated
04/28/2023
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