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Individual

DR. N W WORDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2206 LINCOLN WAY E, MISHAWAKA, IN 46544-3301
(574) 258-5060
(574) 258-5076
Mailing address
PO BOX 1128, MISHAWAKA, IN 46546-1128
(574) 258-5060
(574) 258-5076

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000536A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100091760
IN
01
410026672
RAILROAD MEDICARE
IN
Enumeration date
05/23/2006
Last updated
01/14/2010
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