| Hoosier Park | |
|
4500 Dan Patch Cir Anderson IN 46013-3161 | |
| (765) 609-4711 | |
| Not Available |
| Full Name | Hoosier Park |
|---|---|
| Speciality | Family Medicine |
| Location | 4500 Dan Patch Cir, Anderson, Indiana |
| Authorized Official Name and Position | Jeffery L Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoosier Park 1500 N Ritter Ave Indianapolis IN 46219-3027 Ph: () - | Hoosier Park 4500 Dan Patch Cir Anderson IN 46013-3161 Ph: (765) 609-4711 |
| NPI Number | 1457743361 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457743361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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