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Individual

MATTHEW NETTLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3743 LANDMARK DR STE 200, LAFAYETTE, IN 47905-6656
(765) 448-4511
Mailing address
3743 LANDMARK DR STE 200, LAFAYETTE, IN 47905-6656
(765) 448-4511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005338A
IN

Other

Enumeration date
07/22/2015
Last updated
02/10/2022
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