AUGUSTINE I IZAH

MERRILLVILLE, IN
NPI1760476303
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01042994)
Enumeration Date2005-09-09
Last Update Date2009-11-17
Business Address
-- AUGUSTINE I IZAH MD
5857 BROADWAY
MERRILLVILLE, IN 46410-2666
Phone number: 219-884-4450
Mailing Address
-- AUGUSTINE I IZAH MD
5857 BROADWAY
MERRILLVILLE, IN 46410-2666
Phone number: 219-884-4450
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