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Organization

CONNERSVILLE OBGYN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VANCE ANDRE' RAHAM MD (PRESIDENT)
(765) 825-0811
Entity
Organization

Contact information

Practice address
1619 N GRAND AVE, CONNERSVILLE, IN 47331-2230
(765) 825-0811
(765) 827-5278
Mailing address
1619 N GRAND AVE, CONNERSVILLE, IN 47331-2230
(765) 825-0811
(765) 827-5278

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01045645
IN

Other

Enumeration date
01/23/2007
Last updated
08/22/2020
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