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1316993959
MARK GORDON
MUNSTER, IN
NPI
1316993959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IN 01021975)
Enumeration Date
2006-05-25
Last Update Date
2007-07-08
Business Address
Dr. MARK GORDON M.D.
7905 CALUMET AVE
MUNSTER, IN 46321-1215
Phone number: 219-836-7214
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Mailing Address
Dr. MARK GORDON M.D.
7905 CALUMET AVE
MUNSTER, IN 46321-1215
Phone number: 219-836-7214
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