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1205029196
OLEG VENGEROWSKY
FORT WAYNE, IN
NPI
1205029196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: SC MD21759)
Enumeration Date
2007-08-23
Last Update Date
2019-02-20
Business Address
OLEG VENGEROWSKY MD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
OLEG VENGEROWSKY MD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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