Individual
CATHERINE KREIDER BAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 537-2680
(855) 218-0912
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 537-2680
(855) 218-0912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074673B
IN
Other
Enumeration date
06/26/2013
Last updated
11/02/2016
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