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Organization

FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDUL KHAN MD (PRESIDENT)
(765) 827-7709
Entity
Organization

Contact information

Practice address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331-2833
(765) 827-7709
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
09/13/2006
Last updated
08/22/2020
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