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1215391701
THAYER NASEREDDIN
FORT WAYNE, IN
NPI
1215391701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: IN 01087422A)
Enumeration Date
2016-04-11
Last Update Date
2023-05-11
Business Address
THAYER NASEREDDIN MD
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1739
Phone number: 833-724-8326
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Mailing Address
THAYER NASEREDDIN MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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