Individual
COLTEN LEE DE FLUITER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E 8TH ST, ROCHESTER, IN 46975-1443
(574) 233-8565
(574) 233-8786
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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