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1053601682
LUKE PORTWOOD FIFE
BLOOMINGTON, IN
NPI
1053601682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IN 01087459A)
Additional Taxonomies
208600000X Surgery
(Licence: KY 48989)
Enumeration Date
2011-04-16
Last Update Date
2022-08-23
Business Address
Dr. LUKE PORTWOOD FIFE M.D.
550 S LANDMARK AVE
BLOOMINGTON, IN 47403-3239
Phone number: 812-355-6900
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Mailing Address
Dr. LUKE PORTWOOD FIFE M.D.
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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