Individual
AMANDA ELAINE BAKEHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1655 N CASS ST, WABASH, IN 46992-9416
(260) 425-6300
(260) 569-2494
Mailing address
1655 N CASS ST, WABASH, IN 46992-9416
(260) 425-6300
(260) 569-2494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
100220641I
IN
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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