Individual
MICHAEL E. TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1949 HOSPITAL DR, MARTINSVILLE, IN 46151-1861
(765) 342-8383
(765) 349-8413
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01069893A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201042460
—
IN
Enumeration date
06/02/2010
Last updated
12/31/2020
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