Individual
DR. CYNTHIA LYNN PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12340 BITTERSWEET COMMONS BLVD W, GRANGER, IN 46530-6959
(574) 271-8610
(574) 271-8620
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054944A
IN
207Q00000X
Family Medicine Physician
4301116513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962401091
—
MI
05
—
200343500
—
IN
Enumeration date
07/20/2005
Last updated
01/29/2024
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