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Individual

DR. GEORGE V. TSOUTSOURIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
9105A INDIANAPOLIS BLVD, SUITE 102, HIGHLAND, IN 46322-2591
(219) 923-9090
(219) 923-9147
Mailing address
9105A INDIANAPOLIS BLVD, SUITE 102, HIGHLAND, IN 46322-2591
(219) 923-9090
(219) 923-9147

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000344
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100142010A
IN
Enumeration date
07/14/2005
Last updated
10/06/2009
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