Individual
DR. JOHN JACOB SAALWAECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 W CAMP ST, LEBANON, IN 46052-1647
(765) 482-7005
(765) 483-3023
Mailing address
504 W CAMP ST, LEBANON, IN 46052-1647
(765) 482-7005
(765) 483-3021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01022859A
IN
207Q00000X
Family Medicine Physician
4301062669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01022859A
STATE LICENSE
IN
01
—
4301062669
STATE LICENSE
MI
Enumeration date
05/11/2006
Last updated
03/07/2023
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