| Goens Petrin Wesley | |
|
11911 N Meridian St Suite 100 Carmel IN 46032-6919 | |
| (317) 621-6800 | |
| (317) 621-6808 |
| Full Name | Goens Petrin Wesley |
|---|---|
| Speciality | Internal Medicine |
| Location | 11911 N Meridian St, Carmel, Indiana |
| Authorized Official Name and Position | Jeffery Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goens Petrin Wesley 11911 N Meridian St Suite 100 Carmel IN 46032-6919 Ph: (317) 621-6800 | Goens Petrin Wesley 11911 N Meridian St Suite 100 Carmel IN 46032-6919 Ph: (317) 621-6800 |
| NPI Number | 1972524635 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972524635 | NPI | - | NPPES |
| DA9968 | Other | IN | RR MEDICARE |
| 200325490Q | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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