# SOUTHERN INDIANA UROLOGIC CLINIC,LLC

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

## Provider details

- **NPI number:** 1407924053
- **Authorized official:** KARL J MCALEESE MD (OWNER)
- **Authorized official phone:** (812) 376-9261

## Contact information

- **Practice address:** 2475 N PARK DR STE 10, COLUMBUS, IN 47203-2215
- **Practice address phone:** (812) 376-9261
- **Practice address fax:** (812) 378-9518
- **Mailing address:** 2475 N PARK DR STE 10, COLUMBUS, IN 47203-2215
- **Mailing address phone:** (812) 376-9261
- **Mailing address fax:** (812) 378-9518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 01/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200328660 | — | IN |