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Individual

ALONZO KEVIN MORRISSEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9660 WICKER AVE, ST JOHN, IN 46373-9487
(219) 365-1166
(219) 365-8852
Mailing address
9660 WICKER AVE, ST JOHN, IN 46373-9487
(219) 365-1166
(219) 365-8852

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028441
IN

Other

Enumeration date
07/22/2005
Last updated
07/08/2007
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