Individual
BLAKE CLUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8535 N CLEARVIEW DR, MCCORDSVILLE, IN 46055-6240
(317) 477-6938
(317) 477-6409
Mailing address
8535 N CLEARVIEW DR, MCCORDSVILLE, IN 46055-6240
(317) 477-6938
(317) 477-6409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007088A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2021
Last updated
12/06/2024
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