KEVIN RAY BAXTER

MISHAWAKA, IN
NPI1609161686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: IN  02004614A)
Additional Taxonomies207W00000X Ophthalmology
(Licence: MI  510109282)
Enumeration Date2011-06-17
Last Update Date2015-07-02
Business Address
-- KEVIN RAY BAXTER D.O.
230 E DAY RD STE 100
MISHAWAKA, IN 46545-3408
Phone number: 574-271-3939
Mailing Address
-- KEVIN RAY BAXTER D.O.
230 E DAY RD STE 100
MISHAWAKA, IN 46545-3408
Phone number: 574-271-3939
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