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Individual

JUSTIN ROSSEL KING

Active
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Individual

JUSTIN ROSSEL KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01083614A
IN
2086S0129X
Vascular Surgery Physician
Primary
35.150936
OH
390200000X
Student in an Organized Health Care Education/Training Program
11019205A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301109885
MI

Other

Enumeration date
05/02/2016
Last updated
05/14/2024
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