# EAST CENTRAL INDIANA PATHOLOGISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043394695
- **Authorized official:** GEORGE E BRANAM M.D. (CEO)
- **Authorized official phone:** (765) 747-3428

## Contact information

- **Practice address:** 2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
- **Practice address phone:** (765) 741-3428
- **Practice address fax:** (765) 741-2905
- **Mailing address:** 2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
- **Mailing address phone:** (765) 741-3428
- **Mailing address fax:** (765) 741-2905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | 01046076A | IN | — |
| 207ZH0000X | Hematology (Pathology) Physician | 01018004A | IN | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 01018004A | IN | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 12/17/2007