Individual
EMILY ELIZABETH MUSGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3041 W US HIGHWAY 36, PENDLETON, IN 46064-9280
(765) 778-0000
Mailing address
3041 W US HIGHWAY 36, PENDLETON, IN 46064-9280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004492A
IN
207Q00000X
Family Medicine Physician
036126552
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036126552
—
IL
05
—
201248500
—
IN
Enumeration date
07/18/2008
Last updated
07/27/2022
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