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1124487301
ETHAN WREN
SOUTH BEND, IN
NPI
1124487301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IN 02006816A)
Enumeration Date
2016-02-17
Last Update Date
2024-04-04
Business Address
Dr. ETHAN WREN D.O.
100 NAVARRE PL STE 4440
SOUTH BEND, IN 46601-1171
Phone number: 574-647-5300
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Mailing Address
Dr. ETHAN WREN D.O.
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129
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