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1609864040
MICHAEL JOSEPH DESTEFANO
SOUTH BEND, IN
NPI
1609864040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01027434A)
Enumeration Date
2005-10-10
Last Update Date
2008-04-11
Business Address
Dr. MICHAEL JOSEPH DESTEFANO M.D.
100 NAVARRE PL STE. 4470
SOUTH BEND, IN 46601-1156
Phone number: 574-647-1300
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Mailing Address
Dr. MICHAEL JOSEPH DESTEFANO M.D.
3355 DOUGLAS RD STE. 300
SOUTH BEND, IN 46635-1781
Phone number: 574-647-1069
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