Individual
NATHANIEL MILLS PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4166 WYNTREE DR, NEWBURGH, IN 47630-2521
(812) 858-5050
Mailing address
4166 WYNTREE DR, NEWBURGH, IN 47630-2521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004499A
IN
Other
Enumeration date
03/10/2023
Last updated
08/20/2024
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