Individual
DR. DAVID WILLIAM AMRHEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6913 N MAIN ST STE 300, GRANGER, IN 46530-8039
(574) 647-1500
(574) 647-2567
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01065766A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000654293
BCBS BMG MAIN ST
IN
01
—
000000756914
BCBS E BLAIR
IN
05
—
200976110
—
IN
01
—
P0095556
RR MEDICARE BHS
IN
Enumeration date
07/03/2007
Last updated
03/30/2021
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