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Individual

JAMES M FORDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
825 E LINCOLNWAY, VALPARAISO, IN 46383-5803
(219) 464-4891
(219) 464-1873
Mailing address
825 E LINCOLNWAY, VALPARAISO, IN 46383-5803
(219) 464-4891
(219) 464-1873

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
01041195A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01041195A
IN
2085R0202X
Diagnostic Radiology Physician
45535020
WI
2085R0202X
Diagnostic Radiology Physician
IL

Other

Enumeration date
06/06/2006
Last updated
11/30/2007
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