| |
3479 W 86th St Indianapolis IN 46268-1948 | |
(317) 471-0001 | |
(317) 471-0002 |
Full Name | |
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Speciality | Clinic/center |
Location | 3479 W 86th St, Indianapolis, Indiana |
Authorized Official Name and Position | E. Stanley Kardatzke (MEDICAL DIRECTOR) |
Authorized Official Contact | 3174710001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3479 W 86th St Indianapolis IN 46268-1948 Ph: (317) 471-0001 | 3479 W 86th St Indianapolis IN 46268-1948 Ph: (317) 471-0001 |
NPI Number | 1134292832 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1134292832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 01053617A (Indiana) | Primary |
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