NPI 1396727020

Jon E Smucker, MD

Practitioner Vascular Surgery Physician Goshen, IN

Practice location

Address: 101 Marilyn Ave Suite 4, Goshen, IN 46526-4800
Phone: (574) 533-2769
Fax: (574) 534-6822

Registered specialties (2)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 26832 (IN)

Other Surgery providers in Indiana →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 26832 (IN)

Registry record

NPI: 1396727020
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2005
Record last updated: 8 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.