Individual
DR. CARLA GRIEBEL YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1811 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 534-8200
(574) 534-0411
Mailing address
1811 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 534-0050
(574) 534-0411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039543
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100350450A
—
IN
Enumeration date
09/12/2006
Last updated
01/20/2015
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