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Individual

WILLIAM WALLACE FORGEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
109 E 89TH AVE, MERRILLVILLE, IN 46410-7184
(219) 769-6055
(219) 769-6035
Mailing address
109 E 89TH AVE, MERRILLVILLE, IN 46410-7184
(219) 769-6055
(219) 769-6035

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026236
IN

Other

Enumeration date
06/16/2006
Last updated
07/08/2007
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