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Dr. Jared Tall, DO
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1871353011

Jared Tall is a Student in an Organized Health Care Education/Training Program based in Mishawaka, IN. Jared Tall practices in Mishawaka, IN and has the professional credentials of DO. The NPI Number for Jared Tall is 1871353011 and holds a License No. (Indiana).

The current practice location address for Jared Tall is 611 E Douglas Rd Ste 407, Mishawaka, IN and can be reached out via phone at 574-335-6500. You can also correspond with Jared Tall through the mailing address at 611 E DOUGLAS RD STE 407, MISHAWAKA, IN - 46545-1468 (mailing address contact number: 574-335-6500).

Location: 611 E Douglas Rd Ste 407, Mishawaka, IN, 46545-1468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871353011
Provider Name
Jared Tall
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 407, Mishawaka, IN, 46545-1468
Phone Number
574-335-6500
Fax Number
Provider Enumeration Date
03/21/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6500
Fax Number
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6500
Fax Number
person
Provider's Taxonomy Details 1
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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