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1316611361
JEREMY MICHAELIS
EAST CHICAGO, IN
NPI
1316611361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71011400A)
Enumeration Date
2021-08-03
Last Update Date
2022-09-22
Business Address
JEREMY MICHAELIS NP-C
2323 BROADWAY ST
EAST CHICAGO, IN 46312
Phone number: 219-354-8910
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Mailing Address
JEREMY MICHAELIS NP-C
1001 STURDY RD
VALPARAISO, IN 46383-4126
Phone number: 219-462-7173
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