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Individual

SAMUEL T WERNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1515
(765) 751-5087
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02006832A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/17/2019
Last updated
08/19/2022
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