Individual
JAMES WARREN DAMMON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 LAKE AVE, SUITE 102, PLYMOUTH, IN 46563-7830
(574) 948-5170
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01076447
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01076447
IN
Other
Enumeration date
04/05/2016
Last updated
09/14/2016
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