| Josephson Wallack Munshower Neurology Pc | |
|
330 N Wabash Ave Ste 470 Marion IN 46952-2685 | |
| (765) 455-8822 | |
| (765) 865-3935 |
| Full Name | Josephson Wallack Munshower Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 330 N Wabash Ave Ste 470, Marion, Indiana |
| Authorized Official Name and Position | William D Earwood (CFO/CIO) |
| Authorized Official Contact | 3173082828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Josephson Wallack Munshower Neurology Pc 6983 Hillsdale Ct Indianapolis IN 46250-2054 Ph: (317) 849-8350 | Josephson Wallack Munshower Neurology Pc 330 N Wabash Ave Ste 470 Marion IN 46952-2685 Ph: (765) 455-8822 |
| NPI Number | 1487342671 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487342671 | NPI | - | NPPES |
| 300074758 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
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