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Emmanuel Thierry Mentor
Family Medicine Physician in Chesterton, Indiana
NPI 1770909392

Emmanuel Thierry Mentor is a Family Medicine Physician based in Valparaiso, IN. Emmanuel Thierry Mentor practices in Chesterton, IN. The NPI Number for Emmanuel Thierry Mentor is 1770909392 and holds a License No. (Indiana).

The current practice location address for Emmanuel Thierry Mentor is 650 Dickinson Rd, Chesterton, IN and can be reached out via phone at 219-926-7755 and via fax at 219-929-1885.

Location: 650 Dickinson Rd, Chesterton, IN, 46383-5801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770909392
Provider Name
Emmanuel Thierry Mentor
Credential
Provider Entity Type
Individual
Gender
Male
Address
650 Dickinson Rd, Chesterton, IN, 46383-5801
Phone Number
219-926-7755
Fax Number
219-929-1885
Provider Enumeration Date
03/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 Dickinson Rd
City
Chesterton
State
Indiana
Zip
46304-3387
Phone Number
219-926-7755
Fax Number
219-929-1885
person
Provider Business Mailing Address Details
Address
650 Dickinson Rd
City
Chesterton
State
Indiana
Zip
46304-3387
Phone Number
219-926-7755
Fax Number
219-929-1885
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01073933A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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