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Individual

JONATHAN H. ABIERA II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6913 N MAIN ST STE 300, GRANGER, IN 46530-8039
(574) 647-1500
(574) 647-2567
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1610
(574) 237-6069

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
07001273A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001273A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300015813
IN
Enumeration date
06/17/2015
Last updated
02/05/2025
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