Individual
MANU C. JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
01068413A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200996160
—
IN
Enumeration date
07/23/2007
Last updated
07/15/2014
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