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1881154987
XAVIER MAX MORTENSEN
INDIANAPOLIS, IN
NPI
1881154987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IN 01089469A)
Enumeration Date
2019-03-23
Last Update Date
2023-08-09
Business Address
XAVIER MAX MORTENSEN MD
9002 N MERIDIAN ST STE 100
INDIANAPOLIS, IN 46260-2301
Phone number: 317-844-5530
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Mailing Address
XAVIER MAX MORTENSEN MD
9002 N MERIDIAN ST STE 100
INDIANAPOLIS, IN 46260-2301
Phone number: 317-844-5530
Copy
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