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1932198025
MICHAEL IAN VENGROW
PLANO, TX
NPI
1932198025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0600X Psychiatry & Neurology Clinical Neurophysiology
(Licence: TX K0230)
Enumeration Date
2005-10-20
Last Update Date
2012-01-18
Business Address
MICHAEL IAN VENGROW M.D.
5977 TEMPLE DR
PLANO, TX 75093-8707
Phone number: 214-850-6336
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Mailing Address
MICHAEL IAN VENGROW M.D.
5977 TEMPLE DR
PLANO, TX 75093-8707
Phone number: 214-850-6336
Copy
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