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Individual

FADI LAYOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
761 45TH AVE, STE 108, MUNSTER, IN 46321-2893
(219) 922-5416
(219) 922-3745
Mailing address
757 45TH AVE, STE 201, MUNSTER, IN 46321-2911
(219) 934-2461
(219) 934-2478

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01058949
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200525520A
IN
Enumeration date
05/05/2006
Last updated
12/03/2010
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