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Individual

PARKER E LATSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
(317) 962-5492
Mailing address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01087890A
IN
207P00000X
Emergency Medicine Physician
Primary
82085
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/17/2019
Last updated
05/12/2026
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