JEFFREY JOHN QUACKENBUSH

VALPARAISO, IN
NPI1639151921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X Radiology Radiation Oncology
(Licence: IN  01055750A)
Enumeration Date2005-11-14
Last Update Date2010-07-22
Business Address
DR. JEFFREY JOHN QUACKENBUSH MD
54 ROOSEVELT RD
VALPARAISO, IN 46383-5845
Phone number: 219-462-8246
Mailing Address
DR. JEFFREY JOHN QUACKENBUSH MD
DEPT 6064
CAROL STREET, IL 60122
Phone number: 219-462-8246
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