Individual
DAVID HENRY CLOUD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1098 S ST. RD 25, LOGANSPORT, IN 46947-6723
(574) 722-4141
Mailing address
PO BOX 11503, 405 BASS STREET, FORT WAYNE, IN 46858
(260) 438-4341
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01013236A
IN
Other
Enumeration date
03/07/2007
Last updated
09/02/2008
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