Most Relevant Information
Provider Data
| NPI Number: | 1003350067 |
| Provider Name: | TINA CRUM CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: | 09000281A |
Most Important Dates
| Enumeration Date: | 12/11/2016 |
| Last Updated: | 12/11/2016 |
Provider Practice Location
1400 S LAKE PARK AVE
HOBART
IN
463426790
Practice Location Phone/Fax
| Phone: | 2199428620 |
| Fax: |
Provider Mailing Location
1400 S LAKE PARK AVE
HOBART
IN
463426790
Provider Mailing Phone/Fax
| Phone: | 2199428620 |
| Fax: |