Individual
DUSTIN HANLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
258 MEADOW DR, DANVILLE, IN 46122-1416
(317) 718-0605
(317) 718-0720
Mailing address
258 MEADOW DR, DANVILLE, IN 46122-1416
(317) 718-0605
(317) 718-0720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200225810
—
IN
Enumeration date
08/20/2008
Last updated
08/20/2008
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