Individual
DUANE A HOUGENDOBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01031511A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083942
BLUE CROSS BLUE SHIELD
IN
01
—
000000543343
ANTHEM
IN
05
—
100365590
—
IN
05
—
100365590A
—
IN
Enumeration date
04/11/2006
Last updated
04/12/2023
Update your record
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