Individual
DR. TODD R HOVERMALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
215 W 19TH ST, ANDERSON, IN 46016-4204
(765) 649-7351
(765) 649-8666
Mailing address
PO BOX 2272, ANDERSON, IN 46018-2272
(765) 649-7351
(765) 649-8666
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000387
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136360
—
IN
01
—
791480277
RAILROAD MEDICARE
IN
Enumeration date
09/09/2005
Last updated
10/14/2008
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