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1366411928
ERIC A NISSWANDT
EVANSVILLE, IN
NPI
1366411928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01055787A)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
-- ERIC A NISSWANDT M.D.
3844 1ST AVE
EVANSVILLE, IN 47710-3326
Phone number: 812-428-6161
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Mailing Address
-- ERIC A NISSWANDT M.D.
PO BOX 1510
EVANSVILLE, IN 47706-1510
Phone number: 812-450-6815
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