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Individual

DR. JOHN A NAHRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1411
Mailing address
3620 N EVERBROOK LN, SUITE F, MUNCIE, IN 47304-5200
(765) 741-1411
(765) 741-1424

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01024379A
IN
208D00000X
General Practice Physician
Primary
01024379A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082492
BLUE CROSS/BLUE SHIELD
IN
05
100347460A
IN
Enumeration date
07/20/2005
Last updated
07/25/2024
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