Ted Westlund PA

NPI 1275874497 - Physician Assistant - 363A00000X

NPI Details
NPI 1275874497
Gender Male
Enumeration Date 03/13/2013
Last Updated 03/13/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
11020 E 10TH ST
SUITE B
INDIANAPOLIS IN, 46229-3710, US
Phone (317) 898-5800
Fax (317) 898-5883
Business Location
11020 E 10TH ST
SUITE B
INDIANAPOLIS IN, 46229-3710, US
Phone (317) 898-5800
Fax (317) 898-5883
Toxanomy
Taxonomy Code 363A00000X
License State Indiana
License Number 10000142A
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According to our database, Mr. Ted Westlund PA NPI is 1275874497, taxonomy code is 363A00000X and license number is 10000142A, license state is located at Indiana. Ted Westlund PA physically located at 11020 E 10th St, Indianapolis IN, 46229-3710. NPI Number Ted Westlund PA has the Individual type.

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1275874497 NPI number is provided on an as is basis without warranty of any kind. 1275874497 is maintained by the National Plan & Provider Enumeration System. The contents of Ted Westlund PA are for informational purposes only.