DONALD SQUIRES DUNEVANT

PORTAGE, IN
NPI1821059148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01033863)
Enumeration Date2006-03-28
Last Update Date2019-05-16
Business Address
DONALD SQUIRES DUNEVANT MD
3630 WILLOWCREEK RD
PORTAGE, IN 46368-5075
Phone number: 219-759-5791
Mailing Address
DONALD SQUIRES DUNEVANT MD
3630 WILLOWCREEK RD
PORTAGE, IN 46368-5075
Phone number: 219-759-1157
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