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1083607410
IAN M SHANTZ
GAMBRILLS, MD
NPI
1083607410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MD D0036203)
Enumeration Date
2005-08-31
Last Update Date
2013-11-29
Business Address
Dr. IAN M SHANTZ MD
2401 BRANDERMILL BLVD SUITE 250
GAMBRILLS, MD 21054-1690
Phone number: 410-721-1507
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Mailing Address
Dr. IAN M SHANTZ MD
PO BOX 12622
BELFAST, ME 04915-4017
Phone number: 443-481-6576
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