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Organization · Nephrology Physician · Valparaiso, IN

NPI

1750335246

Type

Organization (Type 2)

Primary specialty

Nephrology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RN0300X

License number

01041789 (IN)

Enumerated

2006-05-20

Last updated

2020-08-22