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1033130174
ALEXANDER ALBERT FONDAK
KOKOMO, IN
NPI
1033130174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IN 01032543a)
Enumeration Date
2006-07-22
Last Update Date
2015-01-22
Business Address
Dr. ALEXANDER ALBERT FONDAK M.D.
804 S BERKLEY RD
KOKOMO, IN 46901-5198
Phone number: 765-457-4455
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Mailing Address
Dr. ALEXANDER ALBERT FONDAK M.D.
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 866-630-9882
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