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1245224724
FADI I ALZEIDAN
MERRILLVILLE, IN
NPI
1245224724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01053003)
Enumeration Date
2005-09-09
Last Update Date
2020-11-17
Business Address
FADI I ALZEIDAN MD
7863 BROADWAY
MERRILLVILLE, IN 46410-5553
Phone number: 219-769-6639
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Mailing Address
FADI I ALZEIDAN MD
55 E 86TH AVE PO BOX 10645
MERRILLVILLE, IN 46410-6382
Phone number: 219-769-1670
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