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1477555225
ALAN C PETERSON
FORT WAYNE, IN
NPI
1477555225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IN 01031812A)
Enumeration Date
2005-08-11
Last Update Date
2020-09-29
Business Address
ALAN C PETERSON M.D.
7910 W JEFFERSON BLVD SUITE 102
FORT WAYNE, IN 46804-4159
Phone number: 260-432-2297
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Mailing Address
ALAN C PETERSON M.D.
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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