Southeastern Indiana Dermatology LLC

NPI #1437441912 in Greensburg, Indiana

Provider Information

NPI Number
1437441912
Entity Type
Organization
Organization Name
Southeastern Indiana Dermatology LLC
Primary Specialty
Dermatology
Enumeration Date
May 3, 2011
Last Updated
May 3, 2011

Practice Location

Address
955 N MICHIGAN AVE
Address 2
STE 81
State
Indiana
ZIP Code
47240-1487
Phone
(812) 212-8797

Authorized Official

Name
DR. ANDREW DUBOIS, M.D.
Title
OWNER
Phone
(812) 212-8797

Specialties & Taxonomy Codes

Specialty
Dermatology

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