Individual
ASHLEE M WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 355-2300
(812) 355-2302
Mailing address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 355-2300
(812) 355-2302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11013977A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01065545A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200961200
—
IN
Enumeration date
06/29/2007
Last updated
03/16/2021
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