Indiana Physician Management-randolph, Llc

NPI 1104102037 - Emergency Medicine - 207P00000X

NPI Details
NPI 1104102037
Enumeration Date 10/24/2011
Last Updated 01/11/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name STEWART STEWART
Position PRESIDENT
Phone (317) 870-0480
Fax (317) 870-0499
Practice Location
473 E GREENVILLE AVE
WINCHESTER IN, 47394-9436, US
Phone (317) 870-0480
Fax (317) 870-0499
Business Location
7148 SOLUTION CTR
CHICAGO IL, 60677-7001, US
Phone (317) 870-6763
Fax (317) 870-0499
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Indiana Physician Management-randolph, Llc NPI is 1104102037, taxonomy code is 207P00000X Indiana Physician Management-randolph, Llc physically located at 473 E Greenville Ave, Winchester IN, 47394-9436. NPI Number 1033115704 has the healthcare provider type.

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1104102037 NPI number is provided on an as is basis without warranty of any kind. 1104102037 is maintained by the National Plan & Provider Enumeration System. The contents of Indiana Physician Management-randolph, Llc are for informational purposes only.