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1801283528
MYRON GLEN BONTRAGER
SOUTH BEND, IN
NPI
1801283528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 02005331A)
Enumeration Date
2015-04-21
Last Update Date
2023-04-28
Business Address
MYRON GLEN BONTRAGER DO
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
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Mailing Address
MYRON GLEN BONTRAGER DO
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number:
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