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Family Medicine Physician
NPI: 1699356303IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
02007088A(IN)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
MARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Class of 2021
Contact & Hours
- Address
- 8535 N CLEARVIEW DR
MCCORDSVILLE, IN 46055 - Phone
- (317) 477-6938
Quick Facts
- NPI
- 1699356303
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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