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1972790848
WALLACE JOHN GASIEWICZ
INDIANAPOLIS, IN
NPI
1972790848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083X0100X Preventive Medicine Occupational Medicine
(Licence: IN 01059216A)
Enumeration Date
2007-09-25
Last Update Date
2007-09-25
Business Address
WALLACE JOHN GASIEWICZ M.D.
10832 WEATHERLY CT
INDIANAPOLIS, IN 46236-8857
Phone number: 317-823-9380
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Mailing Address
WALLACE JOHN GASIEWICZ M.D.
10832 WEATHERLY CT
INDIANAPOLIS, IN 46236-8857
Phone number: 317-823-9380
Copy
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