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9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 | |
| (317) 260-9333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 9465 Counselors Row Ste 200, Indianapolis, Indiana |
| Authorized Official Name and Position | Jerusha Keturah Seung (MEDICAL DIRECTOR AND DIRECTOR OF ED) |
| Authorized Official Contact | 3172609333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 Ph: (317) 260-9333 | 9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 Ph: (317) 260-9333 |
| NPI Number | 1336751312 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 04/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336751312 | NPI | - | NPPES |
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