Zollman Plastic Surgery

NPI 1699003400 - Surgery - 2086S0122X

NPI Details
NPI 1699003400
Enumeration Date 12/07/2009
Last Updated 12/07/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CHARLES WALLACE CHARLES
Position OWNER
Phone (317) 328-1100
Fax (317) 334-9228
Practice Location
8227 NORTHWEST BLVD
SUITE 290
INDIANAPOLIS IN, 46278-1387, US
Phone (317) 328-1100
Fax (317) 334-9228
Business Location
8227 NORTHWEST BLVD
SUITE 290
INDIANAPOLIS IN, 46278-1387, US
Phone (317) 328-1100
Fax (317) 334-9228
Toxanomy
Taxonomy Code 2086S0122X
License State Indiana
License Number 01023513B
Remove 1699003400 NPI Number
 

According to our database, Zollman Plastic Surgery NPI is 1699003400, taxonomy code is 2086S0122X and license number is 01023513B, license state is located at Indiana. Zollman Plastic Surgery physically located at 8227 Northwest Blvd, Indianapolis IN, 46278-1387. NPI Number 1033115704 has the healthcare provider type.

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1699003400 NPI number is provided on an as is basis without warranty of any kind. 1699003400 is maintained by the National Plan & Provider Enumeration System. The contents of Zollman Plastic Surgery are for informational purposes only.