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Individual

ROBERT W CLAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9217
(574) 239-1451
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9217
(574) 239-1451

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
01031859A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100223450
IN
Enumeration date
10/18/2005
Last updated
06/06/2008
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