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Individual

MICHAEL G. MOTYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1 CAYLOR NICKEL SQ, BLUFFTON, IN 46714-2529
(260) 919-3302
(260) 919-3551
Mailing address
1 CAYLOR-NICKEL SQ., STE 100 CAYLOR-NICKEL CLINIC, BLUFFTON, IN 46714
(260) 824-3500
(260) 919-3551

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001062A
IN
213E00000X
Podiatrist
41000209
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200940600
IN
Enumeration date
04/23/2007
Last updated
11/02/2011
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