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Organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF SOUTHWEST INDIANA
Active
Organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF SOUTHWEST INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WAGNER (BILLING MANAGER)
(812) 962-0771
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE SUITE 110, EVANSVILLE, IN 47714
(812) 471-1200
(812) 962-0777
Mailing address
3801 BELLEMEADE SUITE 110, EVANSVILLE, NE 47714
(812) 962-0771
(812) 962-0777
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64019102
—
IN
05
—
64045180
—
IN
05
—
64061286
—
IN
05
—
64291792
—
IN
05
—
64877483
—
IN
05
—
64879513
—
IN
05
—
64880560
—
IN
Enumeration date
05/03/2007
Last updated
08/22/2020
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