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1477676658
HISHAM S ELHASSAN
FORT WAYNE, IN
NPI
1477676658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: IN 01063769A)
Enumeration Date
2007-04-10
Last Update Date
2022-10-17
Business Address
HISHAM S ELHASSAN MD
11104 PARKVIEW CIRCLE DR STE 320
FORT WAYNE, IN 46845-1733
Phone number: 260-266-5300
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Mailing Address
HISHAM S ELHASSAN MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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