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1891780292
ALEXANDER D ANTALIS
FORT WAYNE, IN
NPI
1891780292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01032122A)
Enumeration Date
2005-09-13
Last Update Date
2016-04-05
Business Address
Dr. ALEXANDER D ANTALIS MD
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
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Mailing Address
Dr. ALEXANDER D ANTALIS MD
3640 NEW VISION DR SUITE A
FORT WAYNE, IN 46845-1717
Phone number: 260-482-4440
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