LUIZ C PANTALENA FILHO

SOUTH BEND, IN
NPI1225321722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IN  01073773A)
Additional Taxonomies207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: IN  01073773A)
Enumeration Date2011-05-17
Last Update Date2024-10-31
Business Address
Dr. LUIZ C PANTALENA FILHO MD, PhD
1815 E IRELAND RD
SOUTH BEND, IN 46614-2845
Phone number: 574-647-1700
Mailing Address
Dr. LUIZ C PANTALENA FILHO MD, PhD
1124 ALINE CT
SOUTH BEND, IN 46614-2189
Phone number: 650-387-9765