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1437441912
SOUTHEASTERN INDIANA DERMATOLOGY LLC
GREENSBURG, IN
NPI
1437441912
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Entity Type
Organization
Authorized Contact
ANDREW DUBOIS
Owner
812-212-8797
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IN 01063413A)
Enumeration Date
2011-05-03
Last Update Date
2011-05-03
Business Address
SOUTHEASTERN INDIANA DERMATOLOGY LLC
955 N MICHIGAN AVE STE 81
GREENSBURG, IN 47240-1487
Phone number: 812-212-8797
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Mailing Address
SOUTHEASTERN INDIANA DERMATOLOGY LLC
955 N MICHIGAN AVE STE 81
GREENSBURG, IN 47240-1487
Phone number:
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