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Individual

DR. DON MOORE HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 MACARTHUR BOULEVARD, SUITE 6, MUNSTER, IN 46321-2917
(219) 836-5512
(219) 836-7978
Mailing address
800 MACARTHUR BOULEVARD, SUITE 6, MUNSTER, IN 46321-2917
(219) 836-5512
(219) 836-7978

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01033302
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01033302A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100148030A
IN
Enumeration date
10/26/2007
Last updated
03/02/2010
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