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Individual

DR. AUSTIN ROY MURANAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
202 BROADWAY ST, VINCENNES, IN 47591-1228
(812) 882-3312
(812) 882-6181
Mailing address
202 BROADWAY ST, VINCENNES, IN 47591-1228
(812) 882-3312
(812) 882-6181

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
41000233A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000772884
ANTHEM
IN
05
201076110
IN
Enumeration date
01/31/2012
Last updated
04/07/2022
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