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Individual

DR. JAMES BENJAMIN ST CLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
9445 CALUMET AVE, MUNSTER, IN 46321-2811
(219) 836-1060
(219) 836-1014
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-9685

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01088114A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
286571
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300064568
IN
Enumeration date
06/13/2016
Last updated
08/31/2023
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