Individual
DAVID SHAFFER DARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 PROVIDENT DRIVE, STE B, WARSAW, IN 46580
(574) 268-4300
Mailing address
1210 PROVIDENT DR, SUITE A, WARSAW, IN 46580-3291
(574) 372-7684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01046892A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200227920
—
IN
Enumeration date
06/14/2006
Last updated
09/30/2020
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