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1457774770
MARX WENDEL GONCALVES DE SA
LOUISVILLE, KY
NPI
1457774770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: KY 53805)
Enumeration Date
2014-01-22
Last Update Date
2020-09-02
Business Address
MARX WENDEL GONCALVES DE SA MD
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1735
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Mailing Address
MARX WENDEL GONCALVES DE SA MD
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328
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