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1639288723
ANITA N HAGGSTROM
INDIANAPOLIS, IN
NPI
1639288723
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Former Name
ANITA NIJHAWAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IN 01062369A)
Enumeration Date
2006-08-30
Last Update Date
2019-04-10
Business Address
ANITA N HAGGSTROM MD
550 UNIVERSITY BLVD UH3240
INDIANAPOLIS, IN 46202-5149
Phone number: 317-274-7744
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Mailing Address
ANITA N HAGGSTROM MD
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: 317-944-7744
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