Individual
EAN DREW PLUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 S ELEMENT WAY APT 304, BLOOMINGTON, IN 47403-4077
(219) 363-6660
Mailing address
2250 S ELEMENT WAY APT 304, BLOOMINGTON, IN 47403-4077
(219) 363-6660
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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