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Individual

MICHAEL SEABORN LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 SAINT CHARLES ST, JASPER, IN 47546-9145
(812) 634-1211
(812) 634-1582
Mailing address
1900 SAINT CHARLES ST, JASPER, IN 47546-9145
(812) 634-1211
(812) 634-1582

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01048505A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15-8507
FRENCH LICK FAMILY MEDICINE MEDICARE NUMBER
IN
05
200182880A
IN
01
215020A
MEDICARE GROUP #
IN
Enumeration date
03/30/2006
Last updated
09/16/2009
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