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1619241783
MICHAEL JAMES ELKINS SHANKS
TERRE HAUTE, IN
NPI
1619241783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IN 02005486A)
Enumeration Date
2012-03-06
Last Update Date
2018-08-24
Business Address
MICHAEL JAMES ELKINS SHANKS DO
3401 S 4TH ST
TERRE HAUTE, IN 47802
Phone number: 812-232-9596
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Mailing Address
MICHAEL JAMES ELKINS SHANKS DO
3401 S 4TH ST
TERRE HAUTE, IN 47802-5501
Phone number: 812-201-3807
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