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END STAGE RENAL DISEASE CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH HOWARD HASLITT MD MPH (SECRETARY TREASURER)
(765) 287-0248
Entity
Organization

Contact information

Practice address
2701 W NORTH ST, SUITE C, MUNCIE, IN 47303-3415
(765) 287-0248
(765) 287-0265
Mailing address
2701 W NORTH ST, SUITE C, MUNCIE, IN 47303-3415
(765) 287-0248
(765) 287-0265

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
50002637A
IN

Other

Enumeration date
08/11/2005
Last updated
04/17/2008
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