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Individual

JAIME J. CEBEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 S LAKE PARK AVE, RADIOLOGY DEPARTMENT, HOBART, IN 46342-6638
(219) 947-6310
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(218) 836-2022
(219) 836-0034

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01026083A
IN

Other

Enumeration date
08/23/2005
Last updated
07/08/2007
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