ZHAIJUN FAN

SOUTH BEND, IN
NPI1124225578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02003570A)
Enumeration Date2007-06-29
Last Update Date2021-04-01
Business Address
ZHAIJUN FAN DO
1815 E IRELAND RD
SOUTH BEND, IN 46614-2845
Phone number: 574-647-1750
Mailing Address
ZHAIJUN FAN DO
710 N. NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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