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1386138998
KATHRYN LAINE DEMITRUK
SOUTH BEND, IN
NPI
1386138998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01091754A)
Enumeration Date
2018-06-18
Last Update Date
2023-12-05
Business Address
Dr. KATHRYN LAINE DEMITRUK MD
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
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Mailing Address
Dr. KATHRYN LAINE DEMITRUK MD
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129
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