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Organization

SOUTHEASTERN INDIANA DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW DUBOIS M.D. (OWNER)
(812) 212-8797
Entity
Organization

Contact information

Practice address
955 N MICHIGAN AVE, STE 81, GREENSBURG, IN 47240-1487
(812) 212-8797
Mailing address
955 N MICHIGAN AVE, STE 81, GREENSBURG, IN 47240-1487

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01063413A
IN

Other

Enumeration date
05/03/2011
Last updated
05/03/2011
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