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1093741092
DONALD E. STORK
MUNSTER, IN
NPI
1093741092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02001336A)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
Dr. DONALD E. STORK D.O.
7905 CALUMET AVE HAMMOND CLINIC LLC
MUNSTER, IN 46321-1215
Phone number: 219-836-7214
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Mailing Address
Dr. DONALD E. STORK D.O.
7905 CALUMET AVE HAMMOND CLINIC LLC
MUNSTER, IN 46321-1215
Phone number: 219-836-7214
Copy
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