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1275614570
MICHAEL LEWIS BLAKESLEY
SOUTH BEND, IN
NPI
1275614570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01028547A)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL LEWIS BLAKESLEY MD
615 N MICHIGAN ST
SOUTH BEND, IN 46601-1033
Phone number: 574-647-7459
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Mailing Address
Dr. MICHAEL LEWIS BLAKESLEY MD
328 N MICHIGAN ST SUITE 200
SOUTH BEND, IN 46601-1244
Phone number: 574-647-1842
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