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1619928249
LEONARD I MASTBAUM
FORT WAYNE, IN
NPI
1619928249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: IN 01041346)
Enumeration Date
2006-05-16
Last Update Date
2013-03-23
Business Address
-- LEONARD I MASTBAUM MD
11123 PARKVIEW PLAZA DR SUITE 202
FORT WAYNE, IN 46845-1707
Phone number: 260-373-4280
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Mailing Address
-- LEONARD I MASTBAUM MD
1234 E DUPONT RD SUITE 1
FORT WAYNE, IN 46825-1545
Phone number: 260-373-9700
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