Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Jun 15, 2006
License(s)
47734 (IA), 036.091724 (IL), 01060203A (IN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 8955 W 400 N | Michigan City, IN 46360-9330 | 219-861-5800 |
| MAILING | PO BOX 781076 STE 400 | Detroit, MI 48278-0001 | 317-528-4800 |
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