Individual
DR. ARSENIO SANTIAGO FAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10107 N 575 E, DEMOTTE, IN 46310-8009
(219) 345-5611
(219) 345-5140
Mailing address
10107 N 575 E, DEMOTTE, IN 46310-8009
(219) 345-5611
(219) 345-5140
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01035167A
IN
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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