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1790001303
MICHAEL PEREGRIM
INDIANAPOLIS, IN
NPI
1790001303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01072736A)
Enumeration Date
2010-04-08
Last Update Date
2021-02-04
Business Address
Dr. MICHAEL PEREGRIM MD
550 UNIVERSITY BLVD UH 1501
INDIANAPOLIS, IN 46202-5149
Phone number: 317-948-1310
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Mailing Address
Dr. MICHAEL PEREGRIM MD
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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