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Individual

DR. DAVID DAMARET CHUBE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3229 BROADWAY, STE 111, GARY, IN 46409-1040
(219) 887-4402
(219) 887-4415
Mailing address
3229 BROADWAY, STE 111, GARY, IN 46409-1040
(219) 887-4402
(219) 887-4415

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
01038347
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01038347
LICENSE NUMBER
IN
Enumeration date
06/24/2005
Last updated
03/07/2023
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