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Individual

DR. EBEN M TRUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1345 UNITY PL, SUITE 235, LAFAYETTE, IN 47905-5760
(765) 446-5065
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01075101A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201286140
IN
Enumeration date
04/22/2011
Last updated
03/23/2021
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