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1144334301
ANASTAS MUKOSKI
CROWN POINT, IN
NPI
1144334301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01049340)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
ANASTAS MUKOSKI MD
9330 BROADWAY
CROWN POINT, IN 46307-8602
Phone number: 219-662-5137
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Mailing Address
ANASTAS MUKOSKI MD
10195 FLOYD ST
CROWN POINT, IN 46307-3059
Phone number: 219-662-7399
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