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H. FRED PREUSS, JR.

Podiatric Medicine & Surgery Service Providers Podiatrist

Provider NPI: 1467512947

Organization Information:
Organization Name:  H. FRED PREUSS, JR.
Organization is not Subpart
Authorized Official:  HOWARD FRED PREUSS  OWNER  812-923-9837

Practice Location:
3684 HIGHWAY 150 STE. 3 FLOYDS KNOBS, IN 47119-9692 US
Tel: 812-923-9837  Fax: --

Business Mailing Address:
3684 HIGHWAY 150 STE. 3 FLOYDS KNOBS, IN 47119-9692 US
Tel: --  Fax: --

NPI Information:
NPI: 1467512947
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
IN07000617A
N213EP1101XPodiatric Medicine & Surgery Service Providers
Podiatrist
IN07000617A
N213ER0200XPodiatric Medicine & Surgery Service Providers
Podiatrist
IN07000617A
N213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
IN07000617A
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
IN07000617A
N213EP1101XPodiatric Medicine & Surgery Service Providers
Podiatrist
KY00188
N213ER0200XPodiatric Medicine & Surgery Service Providers
Podiatrist
KY00188
N213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
KY00188
Y213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
KY00188

Other Provider Identifiers:

IssuerNumberStateType
80900277KY05
200521650AIN05



American Medical Association 2012 taxonomy code information

Code: 213E00000X

Type:

Classification:



Definition:



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