Individual
MR. DWIGHT MONTEAL FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
622 E 54TH PL, MERRILLVILLE, IN 46410-1623
(219) 381-5246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28176200A
IN
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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