NPI 1487176293

Adam Lee Waugh, MPOCO

Practitioner Orthotist South Bend, IN

Practice location

Address: 17530 Dugdale Dr, South Bend, IN 46635-1583
Phone: (574) 233-3352

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213.000354 (IL)

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Registry record

NPI: 1487176293
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2017
Record last updated: 13 Jul 2017

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.