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1548439219
DOUGLAS J VAN PUTTEN MD FACS INC
MICHIGAN CITY, IN
NPI
1548439219
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Entity Type
Organization
Authorized Contact
DOUGLAS J VANPUTTEN
President
219-872-7546
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IN 01039408)
Enumeration Date
2008-02-26
Last Update Date
2009-07-15
Business Address
DOUGLAS J VAN PUTTEN MD FACS INC
8865 W 400 N
MICHIGAN CITY, IN 46360-9222
Phone number: 330-773-3544
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Mailing Address
DOUGLAS J VAN PUTTEN MD FACS INC
1529 MOMENTUM PL
CHICAGO, IL 60689-5315
Phone number: 330-773-3544
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