# AMY KILEY ERTEL, MD

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

## Provider details

- **NPI number:** 1457648008
- **Authorized official:** DR. AMY KILEY ERTEL M.D. (PHYSICIAN)
- **Authorized official phone:** (317) 577-2777

## Contact information

- **Practice address:** 11686 MAPLE ST, FISHERS, IN 46038-2804
- **Practice address phone:** (317) 577-2777
- **Practice address fax:** (317) 577-2954
- **Mailing address:** 11686 MAPLE ST, FISHERS, IN 46038-2804
- **Mailing address phone:** (317) 577-2777
- **Mailing address fax:** (317) 577-2954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 01049468A | IN | Yes |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 07/05/2011