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Individual
ERIC CHARLES SMUCLOVISKY
Active
Individual
ERIC CHARLES SMUCLOVISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01085491A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01085491A
IN
208D00000X
General Practice Physician
R0792
TX
Other
Enumeration date
05/26/2015
Last updated
06/13/2024
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