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Individual

MR. ROBERT JAMES LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
220 DUNES PLZ, MICHIGAN CITY, IN 46360-7340
(219) 326-1234
Mailing address
1404 WASHINGTON ST, MICHIGAN CITY, IN 46360-4324
(219) 879-0515

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05001430A
IN

Other

Enumeration date
06/21/2007
Last updated
07/08/2007
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