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Individual

JAMES MARK PLATIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 E 86TH PL, MERRILLVILLE, IN 46410-6258
(219) 795-1255
(219) 738-1953
Mailing address
210 E 86TH PL, MERRILLVILLE, IN 46410-6258
(219) 795-1255
(219) 738-1953

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01043292
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221575
ANTHEM BCBS
IN
05
200071520
IN
Enumeration date
06/09/2006
Last updated
09/01/2009
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