Individual
DR. DARYL L HERSHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 N DETROIT ST, LAGRANGE, IN 46761-1147
(260) 463-2468
(260) 463-4237
Mailing address
2120 N DETROIT ST, LAGRANGE, IN 46761-1147
(260) 463-2468
(260) 463-4237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037748A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299462
ANTHEM BCBS
IN
05
—
100159830A
—
IN
01
—
8757
PHP
IN
Enumeration date
04/13/2007
Last updated
07/27/2022
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