Individual
MARGARET EILEEN LIBBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 W LEXINGTON AVE, ELKHART, IN 46514-1417
(574) 524-7575
(574) 524-7576
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-6592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004209A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300085067
—
IN
Enumeration date
08/03/2023
Last updated
05/19/2026
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