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Individual
DIMITRIOS I FANOPOULOS
Active
Individual
DIMITRIOS I FANOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
036-093988
IL
207RR0500X
Rheumatology Physician
Primary
41141020
WI
Other
Enumeration date
08/04/2006
Last updated
10/19/2011
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