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Dr. Jeffrey John Quackenbush, MD
Radiation Oncology Physician in Valparaiso, Indiana
NPI 1639151921

Jeffrey John Quackenbush is a Radiation Oncology Physician based in Carol Street, IN and is specialized in Radiation Oncology. Jeffrey John Quackenbush practices in Valparaiso, IN and has the professional credentials of MD. The NPI Number for Jeffrey John Quackenbush is 1639151921 and holds a License No. 01055750A (Indiana).

The current practice location address for Jeffrey John Quackenbush is 54 Roosevelt Rd, Valparaiso, IN and can be reached out via phone at 219-462-8246 and via fax at 219-462-7902.

Location: 54 Roosevelt Rd, Valparaiso, IN, 60122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639151921
Provider Name
Jeffrey John Quackenbush
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
54 Roosevelt Rd, Valparaiso, IN, 60122
Phone Number
219-462-8246
Fax Number
219-462-7902
Provider Enumeration Date
11/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000228984 01 IN ANTHEMBCBS
200371010A 05 IN
institution
Provider Business Practice Location Address Details
Address
54 Roosevelt Rd
City
Valparaiso
State
Indiana
Zip
46383-5845
Phone Number
219-462-8246
Fax Number
219-462-7902
person
Provider Business Mailing Address Details
Address
54 Roosevelt Rd
City
Valparaiso
State
Indiana
Zip
46383-5845
Phone Number
219-462-8246
Fax Number
219-462-7902
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
01055750A (Indiana)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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