Individual
DR. JOHN C AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
814 LAPORTE AVE, VALPARAISO, IN 46383-5860
(812) 336-1690
(812) 349-1311
Mailing address
PO BOX 4777, BLOOMINGTON, IN 47402-4777
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02001176
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02001176
INDIANA LICENSE
IN
01
—
02001176B
CSR
IN
05
—
100331050
—
IN
Enumeration date
06/02/2006
Last updated
03/07/2023
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