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Individual

TEENA V. JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1910 W ROYALE DR, MUNCIE, IN 47304-2264
(765) 289-1011
Mailing address
1910 W ROYALE DR, MUNCIE, IN 47304-2264
(765) 289-1011

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01065472A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200915950
IN
01
P00668953
RAILROAD MEDICARE
IN
Enumeration date
06/19/2007
Last updated
07/15/2014
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