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Individual

EDWIN DALE DUNTEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MS

Contact information

Practice address
1310 N MAIN ST, RUSHVILLE, IN 46173-1116
(765) 932-7600
(765) 932-7609
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1116
(765) 932-4111
(765) 932-7062

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01079428A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
R8N65
MO
208VP0014X
Interventional Pain Medicine Physician
Primary
01079428A
IN
208VP0014X
Interventional Pain Medicine Physician
R8N65
MO

Other

Enumeration date
11/18/2005
Last updated
08/29/2018
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