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Showing codes 1407893977 — 1386681872
1407893977 -
HEARTLAND-RIVERVIEW OF EAST PEORIA IL (SNF) LLC
Other Name
:
HEARTLAND HEALTH CARE CENTER-RIVERVIEW
Mailing Address
:
333 N SUMMIT ST
TOLEDO
OH
43604-2615
Phone
: 419-252-5500;
Fax
: 877-385-9446;
Practice Location Address
:
500 CENTENNIAL DR
,
, EAST PEORIA
, IL
, 61611-4912
Practice Phone
: 309-694-9865;
Practice Fax
: 309-699-2192
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1316984883 -
RAPIDES HEALTHCARE SYSTEM, L.L.C.
Other Name
:
ELTON RURAL HEALTH CLINIC
Mailing Address
:
801 POINCIANA AVE
MAMOU
LA
70554-2243
Phone
: 337-584-2237;
Fax
: 337-584-2148;
Practice Location Address
:
907 MAIN ST
,
, ELTON
, LA
, 70532-3228
Practice Phone
: 337-584-2237;
Practice Fax
: 337-584-2148
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1811934391 -
RIO SOL NURSING HOME INC
Other Name
:
RIO SOL NURSING HOME
Mailing Address
:
7049 ZELYNNE ST
MANSURA
LA
71350-4637
Phone
: 318-964-2198;
Fax
: 318-964-2190;
Practice Location Address
:
7049 ZELYNNE ST
,
, MANSURA
, LA
, 71350-4637
Practice Phone
: 318-964-2198;
Practice Fax
: 318-964-2190
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1720025208 -
MS.
MS.
RAIN
F
RUGGERIO
CRNP
Other Name
:
Mailing Address
:
35 W LAKESHORE DR
HOMEWOOD
AL
35209-7253
Phone
: 205-226-5900;
Fax
: 205-226-5937;
Practice Location Address
:
35 W LAKESHORE DR
,
, HOMEWOOD
, AL
, 35209-7253
Practice Phone
: 205-226-5900;
Practice Fax
: 205-226-5937
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1639116114 -
ROBERT
G.
ADAIR
D.D.S.
Other Name
:
Mailing Address
:
9321 E RENO AVE
MIDWEST CITY
OK
73130-3321
Phone
: 405-733-8665;
Fax
: 405-733-8617;
Practice Location Address
:
9321 E RENO AVE
,
, MIDWEST CITY
, OK
, 73130-3321
Practice Phone
: 405-733-8665;
Practice Fax
: 405-733-8617
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1548207020 -
CARLOS
A
MACEDO
MD
Other Name
:
Mailing Address
:
8535 TOM SLICK
SAN ANTONIO
TX
78229-3367
Phone
: 210-582-6440;
Fax
: 210-692-9021;
Practice Location Address
:
8535 TOM SLICK
,
, SAN ANTONIO
, TX
, 78229-3367
Practice Phone
: 210-582-6440;
Practice Fax
: 210-692-9021
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1457398935 -
DR.
DR.
DENNIS
SCOTT
DEVINNEY
D.O.
Other Name
:
Mailing Address
:
PO BOX 9477
TYLER
TX
75711-9477
Phone
: 903-594-2450;
Fax
: 903-509-0493;
Practice Location Address
:
700 OLYMPIC PLAZA CIR
, SUITE 600
, TYLER
, TX
, 75701-1951
Practice Phone
: 903-596-3844;
Practice Fax
: 903-596-3843
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1366489841 -
SHERIDAN VAMC
Other Name
:
CODY VA CLINIC
Mailing Address
:
PO BOX 94464
CLEVELAND
OH
44101-4464
Phone
: 913-578-4409;
Fax
: ;
Practice Location Address
:
1432 RUMSEY AVE
,
, CODY
, WY
, 82414-9998
Practice Phone
: 913-578-4409;
Practice Fax
:
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1275570756 -
MOATAZ GIURGIUS M D INC
Other Name
:
Mailing Address
:
20409 YORBA LINDA BLVD STE K2-265
YORBA LINDA
CA
92886-3042
Phone
: 562-947-8832;
Fax
: 562-947-8839;
Practice Location Address
:
20409 YORBA LINDA BLVD SUITE K2-265
,
, YORBA LINDA
, CA
, 92886-3042
Practice Phone
: 562-947-8832;
Practice Fax
: 562-947-8839
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1184661662 -
MR.
MR.
KU-YUEN
HSUE
MD
Other Name
:
Mailing Address
:
PO BOX 24503
SEATTLE
WA
98124-0503
Phone
: 425-451-4141;
Fax
: 425-451-4144;
Practice Location Address
:
1035 116TH AVE NE
,
, BELLEVUE
, WA
, 98004-4604
Practice Phone
: 425-451-4141;
Practice Fax
: 425-451-4144
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1992742472 -
MAYES CHIROPRACTIC, P.C.
Other Name
:
Mailing Address
:
3819 4 MILE RD N
SUITE B
TRAVERSE CITY
MI
49686-9344
Phone
: 231-938-1710;
Fax
: 231-938-1173;
Practice Location Address
:
3819 4 MILE RD N
, SUITE B
, TRAVERSE CITY
, MI
, 49686-9344
Practice Phone
: 231-938-1710;
Practice Fax
: 231-938-1173
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1801833389 -
SCHRYVER MEDICAL SALES AND MARKETING LLC
Other Name
:
Mailing Address
:
12075 E 45TH AVE
SUITE 600
DENVER
CO
80239-3123
Phone
: 303-371-0073;
Fax
: 303-785-9326;
Practice Location Address
:
11585 E 53RD AVE
, UNIT H
, DENVER
, CO
, 80239-2330
Practice Phone
: 303-371-0073;
Practice Fax
: 303-785-9283
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1710924295 -
SEGREDO PELSANG & HOUSE ANESTHESIA
Other Name
:
GOLDEN GATE ANESTHESIA SERVICES INC
Mailing Address
:
PO BOX 7096
STOCKTON
CA
95267
Phone
: 209-956-7725;
Fax
: 209-956-7733;
Practice Location Address
:
450 STANYAN STREET
,
, SAN FRANCISCO
, CA
, 94117
Practice Phone
: 415-668-1000;
Practice Fax
:
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1629015102 -
RODERICK
F
HUME
MD FACOG
Other Name
:
Mailing Address
:
1401 CENTERVILLE RD
SUITE 400
TALLAHASSEE
FL
32308-4647
Phone
: 850-431-3360;
Fax
: 850-431-3370;
Practice Location Address
:
1401 CENTERVILLE RD
, SUITE 400
, TALLAHASSEE
, FL
, 32308-4647
Practice Phone
: 850-431-3360;
Practice Fax
: 850-431-3370
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1538106018 -
HOSPICE PREFERRED CHOICE, INC.
Other Name
:
ASERACARE HOSPICE
Mailing Address
:
8401 N KENTUCKY AVE STE G
EVANSVILLE
IN
47725-6301
Phone
: 812-858-1032;
Fax
: ;
Practice Location Address
:
6724 E MORGAN AVE STE A
,
, EVANSVILLE
, IN
, 47715-8228
Practice Phone
: 812-858-1032;
Practice Fax
:
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1447297924 -
DR.
DR.
LIJUN
WENG
MD
Other Name
:
Mailing Address
:
20915 50TH AVE
OAKLAND GARDENS
NY
11364-1128
Phone
: ;
Fax
: ;
Practice Location Address
:
1379 54TH ST SUITE 3
,
, BROOKLYN
, NY
, 11219
Practice Phone
: 718-633-4075;
Practice Fax
: 718-633-4006
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1356388839 -
SUNEEL
N
NAGDA
MD
Other Name
:
Mailing Address
:
3400 CIVIC CENTER BLVD
CONCOURSE LEVEL
PHILADELPHIA
PA
19104-4206
Phone
: 215-662-2428;
Fax
: ;
Practice Location Address
:
3400 CIVIC CENTER BLVD
, CONCOURSE LEVEL
, PHILADELPHIA
, PA
, 19104-4206
Practice Phone
: 215-662-2428;
Practice Fax
: 708-216-9033
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1265479745 -
TSUNGJU
O-LEE
MD
Other Name
:
Mailing Address
:
2040 W CHARLESTON BLVD
SUITE 601
LAS VEGAS
NV
89102-2227
Phone
: 702-671-2298;
Fax
: 702-384-7506;
Practice Location Address
:
11234 ANDERSON ST RM 2586
,
, LOMA LINDA
, CA
, 92354-2804
Practice Phone
: 909-558-7884;
Practice Fax
: 909-558-4819
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1174560650 -
FOX REHABILITATION PHYSICAL THERAPY SERVICES LLC
Other Name
:
Mailing Address
:
7 CARNEGIE PLAZA
CHERRY HILL
NJ
08003-1020
Phone
: 877-407-3422;
Fax
: 877-407-4329;
Practice Location Address
:
1844 2ND AVE
,
, NEW YORK
, NY
, 10128-3862
Practice Phone
: 877-407-3422;
Practice Fax
: 877-407-4329
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1083651566 -
DR.
DR.
BARBARA
ANN
PERRY
PH.D.
Other Name
:
Mailing Address
:
3003 WILLAMETTE ST
SUITE F
EUGENE
OR
97405-3241
Phone
: 541-484-2117;
Fax
: 541-484-9591;
Practice Location Address
:
3003 WILLAMETTE ST
, SUITE F
, EUGENE
, OR
, 97405-3241
Practice Phone
: 541-484-2117;
Practice Fax
: 541-484-9591
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1891732376 -
DOCTORS URGENT CARE OFFICES MEDICAL GROUP INC
Other Name
:
DOCTORS URGENT CARE OFFICE
Mailing Address
:
935 STATE ROUTE 28
MILFORD
OH
45150-1911
Phone
: 513-831-5955;
Fax
: 513-831-5985;
Practice Location Address
:
2131 GATEWAY DR
,
, FAIRBORN
, OH
, 45324-6357
Practice Phone
: 937-873-9500;
Practice Fax
: 937-873-9561
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1700823283 -
JONATHAN DUONG O.D., INC.
Other Name
:
LAGUNA COAST OPTOMETRY
Mailing Address
:
303 BROADWAY ST
SUITE 105
LAGUNA BEACH
CA
92651-1816
Phone
: 949-715-2499;
Fax
: 949-715-2493;
Practice Location Address
:
303 BROADWAY ST
, SUITE 105
, LAGUNA BEACH
, CA
, 92651-1816
Practice Phone
: 949-715-2499;
Practice Fax
: 949-715-2493
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1619914199 -
SHERYL
JEAN
MARENTETTE
ANP-BC
Other Name
:
Mailing Address
:
4646 JOHN R ST
DETROIT
MI
48201-1916
Phone
: 313-576-1507;
Fax
: ;
Practice Location Address
:
4646 JOHN R ST STE A3118
,
, DETROIT
, MI
, 48201-1916
Practice Phone
: 313-576-1507;
Practice Fax
:
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1528005006 -
GIANCARLO
MARI
MD
Other Name
:
Mailing Address
:
877 JEFFERSON AVE
ATTN: PROVIDER ENROLLMENT
MEMPHIS
TN
38103-2807
Phone
: ;
Fax
: ;
Practice Location Address
:
1504 TAUB LOOP
,
, HOUSTON
, TX
, 77030-1608
Practice Phone
: 173-873-8890;
Practice Fax
:
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1437196912 -
ROBERT
MERLISS
DO
Other Name
:
Mailing Address
:
3800 WOODWARD AVE
SUITE 702
DETROIT
MI
48201-2061
Phone
: ;
Fax
: ;
Practice Location Address
:
GARDEN CITY HOSPITAL
, 6245 INKSTER RD
, GARDEN CITY
, MI
, 48135
Practice Phone
: 734-458-4441;
Practice Fax
:
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1346287828 -
DR.
DR.
JAY
M
MEYTHALER
MD JD
Other Name
:
Mailing Address
:
1811 CATALA RD
VESTAVIA HILLS
AL
35216-1707
Phone
: 205-822-5993;
Fax
: 205-216-7990;
Practice Location Address
:
900 OAK MOUNTAIN COMMONS LANE
,
, PELHAM
, AL
, 35124
Practice Phone
: 205-216-7900;
Practice Fax
: 205-216-7990
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1255378733 -
ANITA
MARIA
NORONHA
MD
Other Name
:
Mailing Address
:
4646 JOHN R
DETROIT
MI
48201-1932
Phone
: 313-576-1322;
Fax
: ;
Practice Location Address
:
4646 JOHN R ST
,
, DETROIT
, MI
, 48201-1916
Practice Phone
: 313-576-1322;
Practice Fax
:
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1164469649 -
KIMBERLY
O'RILEY
CNP
Other Name
:
Mailing Address
:
1420 STEPHENSON HWY
SUITE 400-CREDENTIALING
TROY
MI
48083-1189
Phone
: 248-581-5977;
Fax
: 248-581-5640;
Practice Location Address
:
4100 JOHN R ST
, KARMANOS CANCER CTR MIDLEVELS
, DETROIT
, MI
, 48201-2013
Practice Phone
: 800-527-6266;
Practice Fax
: 313-576-8381
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1073550554 -
GRACE
IFEYINWA
ONIMOE
MD
Other Name
:
Mailing Address
:
2500 METROHEALTH DR
CLEVELAND
OH
44109-1900
Phone
: 480-412-4100;
Fax
: 480-412-5154;
Practice Location Address
:
2500 METROHEALTH DR
,
, CLEVELAND
, OH
, 44109-1900
Practice Phone
: 216-778-7800;
Practice Fax
:
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1982641460 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1790722270 -
MILIND
VISHNU
PANSARE
MD
Other Name
:
Mailing Address
:
4201 ST. ANTOINE - UHC 5D MAILBOX 226
UNIVERSITY PEDIATRICIANS
DETROIT
MI
48201-2153
Phone
: 313-745-4405;
Fax
: 313-966-0665;
Practice Location Address
:
3950 BEAUBIEN - 3RD FL
, CHILDREN'S HOSPITAL OF MI
, DETROIT
, MI
, 48201
Practice Phone
: 313-832-8550;
Practice Fax
: 313-993-8685
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1609813187 -
ATHINA
PAPPAS
MD
Other Name
:
Mailing Address
:
3800 WOODWARD AVE
SUITE 702
DETROIT
MI
48201-2061
Phone
: ;
Fax
: ;
Practice Location Address
:
CHILDRENS HOSPITAL MI NEONATOLOGY
, 3901 BEAUBIEN 2ND FLOOR - MAIN BUILDING
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-1436;
Practice Fax
:
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1518904093 -
NASHAAT
N
BOUTROS
MD
Other Name
:
Mailing Address
:
440 LAKE COOK RD STE 2
DEERFIELD
IL
60015-5263
Phone
: 847-945-6463;
Fax
: 847-945-6469;
Practice Location Address
:
440 LAKE COOK RD STE 2
,
, DEERFIELD
, IL
, 60015
Practice Phone
: 847-945-6463;
Practice Fax
: 847-945-6469
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1427095900 -
JACQUELINE
DAWN
BOCK
PHD
Other Name
:
Mailing Address
:
47294 PROGRESS CT
STE C
SOLDOTNA
AK
99669-8322
Phone
: 907-262-4470;
Fax
: 907-262-4467;
Practice Location Address
:
215 FIDALGO AVE
, SUITE 104
, KENAI
, AK
, 99611-7751
Practice Phone
: 907-335-4466;
Practice Fax
: 907-335-4467
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1336186816 -
HENDRICKS COUNTY HOSPITAL
Other Name
:
BROWNSBURG HEALTH CARE CENTER
Mailing Address
:
1010 HORNADAY RD
BROWNSBURG
IN
46112-1972
Phone
: 317-852-3123;
Fax
: ;
Practice Location Address
:
1010 HORNADAY RD
,
, BROWNSBURG
, IN
, 46112-1972
Practice Phone
: 317-852-3123;
Practice Fax
:
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1245277722 -
VORAVIT
RATANATHARATHORN
MD FACP
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1138
Phone
: 800-527-6266;
Fax
: 313-576-8767;
Practice Location Address
:
4100 JOHN R ST
, HWCRC 4TH FL
, DETROIT
, MI
, 48201-2013
Practice Phone
: 800-527-6266;
Practice Fax
: 313-576-8767
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1154368637 -
SHIVA
S
RAU
MD
Other Name
:
Mailing Address
:
4646 JOHN R ST
11PC, PRIMARY CARE,JOHN D. DINGELL VA MEDICAL CENTER,
DETROIT
MI
48201-1916
Phone
: 313-576-1000;
Fax
: ;
Practice Location Address
:
4646 JOHN R ST
, 11PC, PRIMARY CARE,JOHN D. DINGELL VA MEDICAL CENTER,
, DETROIT
, MI
, 48201-1916
Practice Phone
: 313-576-1000;
Practice Fax
:
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1063459543 -
JOHN
FREDRICK
ENSLEY
MD
Other Name
:
Mailing Address
:
3800 WOODWARD AVE
SUITE 702
DETROIT
MI
48201-2061
Phone
: ;
Fax
: ;
Practice Location Address
:
KARMANOS CANCER CENTER
, 4100 JOHN R HWCRC 4TH FL
, DETROIT
, MI
, 48201
Practice Phone
: 800-527-6266;
Practice Fax
:
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1972540458 -
JOSHUA
B
EVANS
MD
Other Name
:
Mailing Address
:
4201 SAINT ANTOINE ST
UNIVERSITY PEDIATRICIANS UHC 5D MAILBOX 226
DETROIT
MI
48201-2153
Phone
: 313-745-4405;
Fax
: 313-966-0665;
Practice Location Address
:
3950 BEAUBIEN -
, CHILDREN'S HOSPITAL OF MI 1ST FL
, DETROIT
, MI
, 48201
Practice Phone
: 313-832-8290;
Practice Fax
: 313-993-0081
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1881631364 -
RICHARD
BERNARD
EVERSON
MD
Other Name
:
Mailing Address
:
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON
CT
06030-2212
Phone
: 860-679-7503;
Fax
: 860-679-1610;
Practice Location Address
:
263 FARMINGTON AVE
, UCONN MEDICAL GROUP, CANCER CENTER
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-2100;
Practice Fax
: 860-679-4815
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1699712174 -
DR.
DR.
GERALD
L.
FELDMAN
MD PHD
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1189
Phone
: 313-832-9324;
Fax
: 313-993-8685;
Practice Location Address
:
3950 BEAUBIEN ST FL 3
, CHILDREN'S HOSPITAL OF MICHIGAN
, DETROIT
, MI
, 48201-2120
Practice Phone
: 313-832-9324;
Practice Fax
: 313-993-8685
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1508803081 -
PATRICK
B.
ILADA
MD
Other Name
:
Mailing Address
:
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE
IN
46804-7934
Phone
: 260-479-3513;
Fax
: 260-479-3520;
Practice Location Address
:
1000 PROVIDENT DR STE C
,
, WARSAW
, IN
, 46580-3255
Practice Phone
: 574-267-8728;
Practice Fax
: 574-269-3470
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1417994997 -
ANDOLA
CHAMBERLAIN
MATHIS
M.D.
Other Name
:
Mailing Address
:
21 MICHIGAN ST NE
SUITE 660
GRAND RAPIDS
MI
49503-2528
Phone
: 616-451-2993;
Fax
: 616-451-4393;
Practice Location Address
:
21 MICHIGAN ST NE
, SUITE 660
, GRAND RAPIDS
, MI
, 49503-2528
Practice Phone
: 616-451-2993;
Practice Fax
: 616-451-4393
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1326085804 -
DR.
DR.
MICHAEL
A.
BENSON
M.D.
Other Name
:
Mailing Address
:
2 TELEPORT DR STE 207
STATEN ISLAND
NY
10311-1004
Phone
: 718-273-5500;
Fax
: 718-273-3232;
Practice Location Address
:
2 TELEPORT DR STE 207
,
, STATEN ISLAND
, NY
, 10311-1004
Practice Phone
: 718-273-5500;
Practice Fax
: 718-273-3232
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1235176710 -
DR.
DR.
RAVI
MIDIDODDI
M.D
Other Name
:
NATARAJU
RAVINDER
MIDIDODDI
Mailing Address
:
408 W 45TH ST
AUSTIN
TX
78751-3014
Phone
: 512-451-5800;
Fax
: 512-459-1399;
Practice Location Address
:
16010 PARK VALLEY DR STE 100
,
, ROUND ROCK
, TX
, 78681-3575
Practice Phone
: 512-320-1500;
Practice Fax
: 512-459-1399
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1144267626 -
DR.
DR.
MARILYN
G
PEARSON
MD
Other Name
:
Mailing Address
:
680 N LAKE SHORE DRIVE
SUITE 1000
CHICAGO
IL
60611
Phone
: 312-926-3627;
Fax
: ;
Practice Location Address
:
20 S CLARK STREET
, 11TH FLOOR
, CHICAGO
, IL
, 60603
Practice Phone
: 312-926-3627;
Practice Fax
:
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1053358531 -
SYDNEY
C
CHOSLOVSKY
MD
Other Name
:
Mailing Address
:
65 N 14TH ST
SAN JOSE
CA
95112-6207
Phone
: 408-279-1400;
Fax
: 408-279-3216;
Practice Location Address
:
65 N 14TH ST
,
, SAN JOSE
, CA
, 95112-6207
Practice Phone
: 408-279-1400;
Practice Fax
: 408-279-3216
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1962449447 -
MERCY CLINIC SPRINGFIELD COMMUNITIES
Other Name
:
Mailing Address
:
PO BOX 2580
SPRINGFIELD
MO
65801-2580
Phone
: 417-829-4620;
Fax
: ;
Practice Location Address
:
2030 S NATIONAL AVE
, SUITE 105
, SPRINGFIELD
, MO
, 65804-2222
Practice Phone
: 417-820-9590;
Practice Fax
: 417-820-9592
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1871530352 -
BEAR TOWN CHIROPRACTIC CLINIC, P.A.
Other Name
:
Mailing Address
:
2186 3RD ST
SUITE 104
WHITE BEAR LAKE
MN
55110-3263
Phone
: 651-429-1447;
Fax
: 651-429-5008;
Practice Location Address
:
2186 3RD ST
, SUITE 104
, WHITE BEAR LAKE
, MN
, 55110-3263
Practice Phone
: 651-429-1447;
Practice Fax
: 651-429-5008
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1780621268 -
DR.
DR.
SAMI
S
ZAMZAM
M.D.
Other Name
:
Mailing Address
:
3333 EVERGREEN DR NE
GRAND RAPIDS
MI
49525-9493
Phone
: 616-364-4200;
Fax
: 616-364-7347;
Practice Location Address
:
3333 EVERGREEN DR NE
,
, GRAND RAPIDS
, MI
, 49525-9493
Practice Phone
: 616-364-4200;
Practice Fax
: 616-364-7347
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1699712182 -
DIANNE
R.
LEVISOHN
MD
Other Name
:
Mailing Address
:
19917 7TH AVE NE
STE 203
POULSBO
WA
98370-6555
Phone
: 360-824-5474;
Fax
: 360-326-2451;
Practice Location Address
:
19917 7TH AVE NE
, STE 203
, POULSBO
, WA
, 98370-6555
Practice Phone
: 360-824-5474;
Practice Fax
: 360-326-2451
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1508803099 -
HENDRICKS COUNTY HOSPITAL
Other Name
:
PLAINFIELD HEALTH CARE CENTER
Mailing Address
:
3700 CLARKS CREEK RD
PLAINFIELD
IN
46168-1925
Phone
: 317-839-6577;
Fax
: ;
Practice Location Address
:
3700 CLARKS CREEK RD
,
, PLAINFIELD
, IN
, 46168-1925
Practice Phone
: 317-839-6577;
Practice Fax
:
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1417994906 -
ABDUL
RAUF
MD
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1138
Phone
: 313-577-1396;
Fax
: 313-993-3421;
Practice Location Address
:
3901 CHRYSLER DR
, TOLAN PARK
, DETROIT
, MI
, 48201-2167
Practice Phone
: 313-577-1396;
Practice Fax
: 313-993-3421
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1326085812 -
YADDANAPUDI
RAVINDRANATH
MD
Other Name
:
Mailing Address
:
3800 WOODWARD AVE
SUITE 600
DETROIT
MI
48201-2061
Phone
: ;
Fax
: ;
Practice Location Address
:
CHILDRENS HOSPITAL MI HEMATOLOGY/ONCOLOGY
, 3901 BEAUBIEN 2ND FLOOR - CARL'S BUILDING
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-5515;
Practice Fax
:
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1235176728 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1144267634 -
SANJAY
G.
REVANKAR
M.D.
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1189
Phone
: 248-581-5972;
Fax
: 248-581-5640;
Practice Location Address
:
3901 CHRYSLER DR
, SUITE 4A
, DETROIT
, MI
, 48201-2167
Practice Phone
: 313-745-4525;
Practice Fax
: 313-577-3223
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1053358549 -
LOBELIA
SAMAVATI
MD
Other Name
:
Mailing Address
:
1560 E MAPLE RD STE 400
TROY
MI
48083-1135
Phone
: 248-581-5972;
Fax
: 248-581-5640;
Practice Location Address
:
3990 JOHN R ST, 6 BRUSH CENTER
,
, DETROIT
, MI
, 48201-2018
Practice Phone
: 313-745-4525;
Practice Fax
: 313-745-7414
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1962449454 -
BEENA
SOOD
MD
Other Name
:
Mailing Address
:
3800 WOODWARD AVE
SUITE 600
DETROIT
MI
48201-2061
Phone
: ;
Fax
: ;
Practice Location Address
:
CHILDRENS HOSPITAL MI NEONATOLOGY
, 3901 BEAUBIEN 2ND FLOOR - MAIN BUILDING
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-1436;
Practice Fax
:
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1871530360 -
BROOKE
E
BUDDE
DO
Other Name
:
Mailing Address
:
1 HOSPITAL RD
PO BOX C-268
CHEROKEE
NC
28719
Phone
: 828-497-3551;
Fax
: 828-359-1145;
Practice Location Address
:
1 HOSPITAL RD
,
, CHEROKEE
, NC
, 28719-2871
Practice Phone
: 828-497-3551;
Practice Fax
: 828-359-1145
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1780621276 -
TARA
A
WASHINGTON
MD
Other Name
:
Mailing Address
:
PO BOX 512185
LOS ANGELES
CA
90051-0185
Phone
: 626-775-3514;
Fax
: ;
Practice Location Address
:
44274 GEORGE CUSHMAN CT
, SUITE 100
, TEMECULA
, CA
, 92592-5945
Practice Phone
: 951-252-9300;
Practice Fax
:
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1598702086 -
MR.
MR.
ROBIN
F
MACDOUGALL
D.O.
Other Name
:
Mailing Address
:
4626 E. SHEA BLVD
SUITE C230
PHOENIX
AZ
85028
Phone
: 602-314-5119;
Fax
: 602-368-4071;
Practice Location Address
:
4626 E. SHEA BLVD
, SUITE C230
, PHOENIX
, AZ
, 85028
Practice Phone
: 602-314-5119;
Practice Fax
: 602-368-4071
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1407893993 -
PATHOLOGISTS REGIONAL LABORATORY
Other Name
:
Mailing Address
:
415 6TH STREET
LEWISTON
ID
83501
Phone
: 208-746-0516;
Fax
: 208-746-4989;
Practice Location Address
:
415 6TH ST
,
, LEWISTON
, ID
, 83501-2431
Practice Phone
: 208-746-0516;
Practice Fax
: 208-746-4989
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1316984800 -
SUDHA
KARUPAIAH
MD
Other Name
:
Mailing Address
:
560 E SAINT JOHN ST
SAN JOSE
CA
95112-3413
Phone
: 408-279-1400;
Fax
: 408-279-3216;
Practice Location Address
:
560 E SAINT JOHN ST
,
, SAN JOSE
, CA
, 95112-3413
Practice Phone
: 408-279-1400;
Practice Fax
: 408-279-3216
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1225075716 -
KYUNG
HEE
HOU
D.P.M.
Other Name
:
Mailing Address
:
PO BOX 1630
VISTA
CA
92085-1630
Phone
: 760-945-0596;
Fax
: 760-726-8427;
Practice Location Address
:
2201 VISTA GRANDE DR
,
, VISTA
, CA
, 92084-2734
Practice Phone
: 760-945-0596;
Practice Fax
: 760-726-8427
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1134166622 -
PAOLO
GERBASI
MD
Other Name
:
Mailing Address
:
123 S 27TH ST
BILLINGS
MT
59101-4227
Phone
: 406-247-3350;
Fax
: 406-247-3389;
Practice Location Address
:
123 S 27TH ST
,
, BILLINGS
, MT
, 59101-4227
Practice Phone
: 406-247-3350;
Practice Fax
: 406-247-3389
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1043257538 -
IHC HEALTH SERVICES, INC
Other Name
:
FILLMORE COMMUNITY HOSPITAL
Mailing Address
:
PO BOX 30180
SALT LAKE CITY
UT
84130-0180
Phone
: 801-357-7027;
Fax
: 801-357-7997;
Practice Location Address
:
674 S HIGHWAY 99
,
, FILLMORE
, UT
, 84631-5013
Practice Phone
: 435-743-5591;
Practice Fax
: 435-743-6312
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1952348443 -
GABRIEL
SOSNE
MD
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1138
Phone
: 248-581-5976;
Fax
: 248-581-5640;
Practice Location Address
:
4717 ST ANTOINE
, KRESGE EYE INSTITUTE
, DETROIT
, MI
, 48201-1423
Practice Phone
: 313-577-8900;
Practice Fax
: 313-577-0700
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1861439358 -
AYMAN
OMAR
SOUBANI
MD
Other Name
:
Mailing Address
:
1560 E. MAPLE RD.
SUITE 400-CREDENTIALING
TROY
MI
48083-1135
Phone
: 800-527-6266;
Fax
: 313-576-8381;
Practice Location Address
:
4100 JOHN R ST
, KARMANOS CANCER CENTER
, DETROIT
, MI
, 48201-2013
Practice Phone
: 800-527-6266;
Practice Fax
: 313-576-8381
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1770520264 -
DR.
DR.
JAMES
RICHARD
SPEARS
MD
Other Name
:
Mailing Address
:
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD
MI
48033-3849
Phone
: ;
Fax
: ;
Practice Location Address
:
22060 BEECH ST
,
, DEARBORN
, MI
, 48124-2847
Practice Phone
: 313-228-0505;
Practice Fax
: 248-651-0355
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1689611170 -
MINH
NGUYEN
CRUZ
MD
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1138
Phone
: 313-262-1490;
Fax
: 313-262-1238;
Practice Location Address
:
CHILDRENS HOSPITAL MI EMERGENCY MED
, 3901 BEAUBIEN ER DEPT - MAIN BUILDING
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-5260;
Practice Fax
:
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1497792980 -
STEPHEN
PATRICK
DESILVA
MD
Other Name
:
Mailing Address
:
1 FORD PL STE 3A
DETROIT
MI
48202-3450
Phone
: 313-874-4806;
Fax
: 313-876-1305;
Practice Location Address
:
6777 W MAPLE RD
,
, WEST BLOOMFIELD
, MI
, 48322-3013
Practice Phone
: 248-661-6470;
Practice Fax
:
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1306883897 -
DEAN
ELIOTT
MD
Other Name
:
Mailing Address
:
243 CHARLES ST
MASSACHUSETTS EYE & EAR INFIRMARY
BOSTON
MA
02114-3002
Phone
: 617-573-3736;
Fax
: 617-573-3698;
Practice Location Address
:
243 CHARLES ST
,
, BOSTON
, MA
, 02114-3002
Practice Phone
: 617-573-3736;
Practice Fax
:
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1215974704 -
DEBORAH
A
ELLIS
PHD
Other Name
:
Mailing Address
:
3800 WOODWARD AVE
SUITE 702
DETROIT
MI
48201-2061
Phone
: ;
Fax
: ;
Practice Location Address
:
UPC CHILDREN'S HOSPITAL
, 3901 BEAUBIEN 4TH FLOOR CARLS BLDG
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-4878;
Practice Fax
:
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1124065610 -
LAWRENCE
E
FLAHERTY
MD
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1138
Phone
: 800-527-6266;
Fax
: 313-576-8767;
Practice Location Address
:
KARMANOS CANCER CENTER
, 4100 JOHN R HWCRC 4TH FL
, DETROIT
, MI
, 48201
Practice Phone
: 800-527-6266;
Practice Fax
: 313-576-8767
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1033156526 -
ROBERT
NEIL
FRANK
MD
Other Name
:
Mailing Address
:
1560 E MAPLE ROAD
SUITE 400-CREDENTIALING
TROY
MI
48083-1138
Phone
: 248-581-5976;
Fax
: 248-581-5640;
Practice Location Address
:
4717 ST ANTOINE
, KRESGE EYE INSTITUTE
, DETROIT
, MI
, 48201-1423
Practice Phone
: 313-577-8900;
Practice Fax
: 313-577-0700
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1942247432 -
DANIEL
ANTHONY C
FRATTARELLI
MD
Other Name
:
Mailing Address
:
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD
MI
48033-3849
Phone
: 947-522-1863;
Fax
: 947-522-0307;
Practice Location Address
:
18181 OAKWOOD BLVD STE 401
,
, DEARBORN
, MI
, 48124-5031
Practice Phone
: 313-593-7240;
Practice Fax
: 313-593-8899
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1851338347 -
KENNETH
GRANKE
MD
Other Name
:
Mailing Address
:
4967 CROOKS RD
STE 130
TROY
MI
48098-5801
Phone
: 248-952-1601;
Fax
: 248-952-1614;
Practice Location Address
:
2104 E 11 MILE RD
, SUITE 600
, WARREN
, MI
, 48091-6122
Practice Phone
: 734-464-0887;
Practice Fax
: 734-402-0254
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1760429252 -
PAIN MANAGEMENT ASSOCIATES, INC.
Other Name
:
Mailing Address
:
PO BOX 4034
IRVINE
CA
92616-4034
Phone
: 949-588-7246;
Fax
: 949-272-3746;
Practice Location Address
:
2888 LONG BEACH BLVD
, SUITE 210
, LONG BEACH
, CA
, 90806-1530
Practice Phone
: 949-588-7246;
Practice Fax
: 949-272-3746
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1679510168 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1588601074 -
EARL
ROBERT
HARTWIG
MD
Other Name
:
Mailing Address
:
3800 WOODWARD AVE
SUITE 600
DETROIT
MI
48201-2061
Phone
: ;
Fax
: ;
Practice Location Address
:
CHILDRENS HOSPITAL MI EMERGENCY MED
, 3901 BEAUBIEN ER DEPT - MAIN BUILDING
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-5260;
Practice Fax
:
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1396782884 -
JENNIFER
L
WEBB
MD
Other Name
:
JENNIFER
L
HOLT
Mailing Address
:
3621 SOUTH STATE STREET
700 KMS PLACE
ANN ARBOR
MI
48108
Phone
: 734-936-2047;
Fax
: ;
Practice Location Address
:
401 WEST GREEN LAWN AVE
,
, LANSING
, MI
, 48910-2819
Practice Phone
: 517-975-7800;
Practice Fax
:
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1205873791 -
DR.
DR.
ODETTE
MARGIT
HOUGHTON
MD
Other Name
:
Mailing Address
:
13400 E SHEA BLVD
SCOTTSDALE
AZ
85259-5452
Phone
: 480-301-8000;
Fax
: ;
Practice Location Address
:
13400 E SHEA BLVD
,
, SCOTTSDALE
, AZ
, 85259
Practice Phone
: 480-301-8000;
Practice Fax
:
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1114964608 -
DIANE
LYNN
LEVINE
MD
Other Name
:
Mailing Address
:
1560 E MAPLE ROAD
SUITE 400- CREDENTIALING
TROY
MI
48083-1138
Phone
: 313-745-4525;
Fax
: 331-396-6730;
Practice Location Address
:
50 E CANFIELD ST
, GENERAL MEDICINE AMBULATORY PRACTICE
, DETROIT
, MI
, 48201-1804
Practice Phone
: 313-745-4525;
Practice Fax
: 313-966-7305
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1023055514 -
FULVIO
LONARDO
MD
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1189
Phone
: 248-581-5974;
Fax
: 248-581-5640;
Practice Location Address
:
3990 JOHN R ST
, HARPER HOSPITAL PATHOLOGY
, DETROIT
, MI
, 48201-2018
Practice Phone
: 313-745-8555;
Practice Fax
: 313-745-9299
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1932146420 -
PATRICIA
MUCCI
LORUSSO
DO
Other Name
:
Mailing Address
:
1420 STEPHENSON HWY
SUITE 400-CREDENTIALING
TROY
MI
48083-1189
Phone
: 248-581-5977;
Fax
: 248-581-5640;
Practice Location Address
:
4100 JOHN R ST
, HWCRC 4TH FL
, DETROIT
, MI
, 48201-2013
Practice Phone
: 800-527-6266;
Practice Fax
: 313-576-8767
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1841237336 -
LISA
RACHEL
MARKMAN
MD
Other Name
:
Mailing Address
:
24 FRANK LLOYD WRIGHT DR STE J2000
ANN ARBOR
MI
48105-9484
Phone
: 734-747-6766;
Fax
: 734-222-3100;
Practice Location Address
:
4350 JACKSON RD STE 100
,
, ANN ARBOR
, MI
, 48103
Practice Phone
: 734-971-9344;
Practice Fax
: 734-971-2303
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1750328241 -
ABRAHAM
S
MITIAS
MD
Other Name
:
Mailing Address
:
PO BOX 3970
CHARLESTON
WV
25339-3970
Phone
: 304-346-4400;
Fax
: 304-346-0704;
Practice Location Address
:
331 LAIDLEY ST
, SUITE 301
, CHARLESTON
, WV
, 25301-1619
Practice Phone
: 304-346-4400;
Practice Fax
: 304-346-0704
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1669419156 -
SOMESWARA
N
NAVULURI
MD
Other Name
:
Mailing Address
:
3721 DURHAM CT
BLOOMFIELD HILLS
MI
48302-1224
Phone
: 313-506-7885;
Fax
: ;
Practice Location Address
:
5555 CONNER ST
,
, DETROIT
, MI
, 48213-3448
Practice Phone
: 313-506-7885;
Practice Fax
:
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1578500062 -
MANUEL
ELLIS
TANCER
MD
Other Name
:
Mailing Address
:
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY
MI
48083-1138
Phone
: 313-993-3434;
Fax
: 313-993-3421;
Practice Location Address
:
3901 CHRYSLER SERVICE DR.
,
, DETROIT
, MI
, 48201-2167
Practice Phone
: 313-993-3434;
Practice Fax
: 313-993-3421
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1487691978 -
SHIBANY
P
TAORMINA
PHD
Other Name
:
Mailing Address
:
1 FORD PL STE 3A
DETROIT
MI
48202-3450
Phone
: 313-876-1305;
Fax
: ;
Practice Location Address
:
2799 W GRAND BLVD
,
, DETROIT
, MI
, 48202-2608
Practice Phone
: 313-916-2600;
Practice Fax
:
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1295772788 -
JEFFREY
W.
TAUB
M.D.
Other Name
:
Mailing Address
:
CHILDRENS HOSPITAL OF MICHIGAN
3901 BEAUBIEN BLVD - CARDIOLOGY
DETROIT
MI
48201
Phone
: 313-745-5835;
Fax
: ;
Practice Location Address
:
CHILDRENS HOSPITAL OF MICHIGAN
, 3901 BEAUBIEN BLVD - CARDIOLOGY
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-5835;
Practice Fax
: 313-993-0894
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1104863695 -
MARY
PATRICIA
BEDARD-LUSIS
MD
Other Name
:
Mailing Address
:
4201 ST. ANTOINE UHC 6F MAILBOX# 226
UNIVERSITY PEDIATRICIANS
DETROIT
MI
48201-2061
Phone
: 313-966-5051;
Fax
: 313-966-6618;
Practice Location Address
:
CHILDRENS HOSPITAL MI NEONATOLOGY
, 3901 BEAUBIEN 2ND FLOOR - MAIN BUILDING
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-1436;
Practice Fax
:
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1013954502 -
MARQUITA
BEDWAY
PHD
Other Name
:
Mailing Address
:
3800 WOODWARD AVE
SUITE 702
DETROIT
MI
48201-2061
Phone
: ;
Fax
: ;
Practice Location Address
:
UPC CHILDREN'S HOSPITAL
, 3901 BEAUBIEN 4TH FLOOR CARLS BLDG
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-4878;
Practice Fax
:
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1922045418 -
DR.
DR.
ROCHELLE
ANDERSON
ROBBINS
PH.D.
Other Name
:
ROCHELLE
LOUISE
ANDERSON
Mailing Address
:
7905 IVY LN
ELKINS PARK
PA
19027-1211
Phone
: 215-378-4958;
Fax
: ;
Practice Location Address
:
7905 IVY LN
,
, ELKINS PARK
, PA
, 19027-1211
Practice Phone
: 215-378-4958;
Practice Fax
:
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1831136324 -
JAMES
F.
FRENCH
MD
Other Name
:
Mailing Address
:
2700 NW STEWART PKWY
ROSEBURG
OR
97471-1281
Phone
: 541-677-3622;
Fax
: 541-677-1794;
Practice Location Address
:
2700 NW STEWART PKWY
,
, ROSEBURG
, OR
, 97471-1281
Practice Phone
: 541-677-3622;
Practice Fax
: 541-677-1794
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1740227230 -
KOSTAS
CONSTANTINE
M.D.
Other Name
:
Mailing Address
:
3310 FALL HILL AVE
FREDERICKSBURG
VA
22401-3000
Phone
: ;
Fax
: ;
Practice Location Address
:
3310 FALL HILL AVE
,
, FREDERICKSBURG
, VA
, 22401-3000
Practice Phone
: 540-373-4206;
Practice Fax
:
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1659318145 -
ROBERT
DEBLASI
M.D.
Other Name
:
Mailing Address
:
3310 FALL HILL AVE
FREDERICKSBURG
VA
22401-3000
Phone
: ;
Fax
: ;
Practice Location Address
:
3310 FALL HILL AVE
,
, FREDERICKSBURG
, VA
, 22401-3000
Practice Phone
: 540-373-4602;
Practice Fax
:
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1568409050 -
FRANK
MARK
TURSI
DO
Other Name
:
Mailing Address
:
1 LECOM PL
ERIE
PA
16505-2571
Phone
: ;
Fax
: 814-868-2522;
Practice Location Address
:
5637 PEACH ST
,
, ERIE
, PA
, 16509-2605
Practice Phone
: 814-864-0690;
Practice Fax
: 814-866-5147
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1477590966 -
DR.
DR.
STEPHEN
SAMUEL
SHINAULT
DO
Other Name
:
Mailing Address
:
PO BOX 7368
ORANGE
CA
92863-7368
Phone
: 714-571-5000;
Fax
: 714-571-5055;
Practice Location Address
:
9201 E MOUNTAIN VIEW RD
, SUITE 137
, SCOTTSDALE
, AZ
, 85258-5199
Practice Phone
: 480-614-8555;
Practice Fax
: 480-614-8666
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1386681872 -
DR.
DR.
JULIE
REIL
MD
Other Name
:
Mailing Address
:
1655 SHILOH RD
SUITE E
BILLINGS
MT
59106-1726
Phone
: 406-252-0022;
Fax
: 406-245-1228;
Practice Location Address
:
1655 SHILOH RD
, SUITE E
, BILLINGS
, MT
, 59106-1726
Practice Phone
: 406-252-0022;
Practice Fax
: 406-245-1228
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