Indiana
Noble
Kendallville
Family Medicine
active
C36653
male
1974
medical activities:
patient care - 30 to 39 hours
license issued on July 11, 1975; expires on July 31, 2011
Ethnic background: caucasian/white/european/middle eastern
Indiana University School of Medicine (graduated in 1974)
8 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-92244