Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 07001221A | IN |
N | 213ES0103X | Foot & Ankle Surgery | POD001229 | GA |
NPI | 1033545306 |
---|---|
Provider Name | Julie Ferland |
First Address | Warsaw, IN 46580-3942 |
Second Address | Warsaw, IN 46580-3942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2013 |
Last Update Date | 15/12/2021 |