Individual
DANIEL MYRON NETLUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 S MAIN ST, EMERGENCY DEPARTMENT, CROWN POINT, IN 46307-8481
(219) 757-6310
(219) 757-6312
Mailing address
1201 S MAIN ST, EMERGENCY DEPARTMENT, CROWN POINT, IN 46307-8481
(219) 757-6310
(219) 757-6312
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01038329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387940
—
IN
Enumeration date
08/01/2005
Last updated
03/30/2020
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