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Individual

DR. ANNEMARIE PAULA DESANTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2000 W BOULEVARD, KOKOMO, IN 46902-6079
(765) 456-1790
(765) 457-3561
Mailing address
2644 CADEN CT, WESTFIELD, IN 46074-8527
(765) 456-1790

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01037590A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100103220A
IN
Enumeration date
10/03/2005
Last updated
12/02/2024
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