Individual
MAKENZIE ELAINE UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2723 S 7TH ST STE A, TERRE HAUTE, IN 47802-3558
(812) 232-8164
(812) 234-6391
Mailing address
2723 S 7TH ST STE A, TERRE HAUTE, IN 47802-3558
(812) 232-8164
(812) 234-6391
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10003042A
IN
Other
Enumeration date
07/15/2020
Last updated
09/06/2023
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