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Individual

JOHN T DUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01041634A
IN
207RN0300X
Nephrology Physician
35072749
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100321980
IN
Enumeration date
05/16/2006
Last updated
11/10/2022
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