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1952433880
SUSAN MARIE NOWAK
SOUTH BEND, IN
NPI
1952433880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN 01061397A)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- SUSAN MARIE NOWAK MD
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
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Mailing Address
-- SUSAN MARIE NOWAK MD
1846 W ADDISON ST
CHICAGO, IL 60613-3503
Phone number: 773-327-6833
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