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Individual

JULIE VYHANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 287-8596
(765) 288-6514
Mailing address
307 N PENNSYLVANIA ST APT 513, INDIANAPOLIS, IN 46204-2293
(603) 714-0390

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004637A
IN
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300100003
IN
Enumeration date
10/01/2024
Last updated
12/18/2024
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