CHELSEA PRUCKNER
Physician Assistant at Detroit St, Lagrange, IN

License number
Indiana MA057078
Category
Nursing
Type
Medical
License number
Indiana 10002124A
Category
Nursing
Type
Physician Assistant
Address
Address 2
2500 N Detroit St, Lagrange, IN 46761
5115 Centre Ave FLOOR SECOND, Pittsburgh, PA 15232
Phone
(260) 463-2133
(260) 463-3775 (Fax)
National Provider ID: 1780085670
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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