# PERSONALIZED HEALTHCARE OF CARMEL, LLC

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

## Provider details

- **NPI number:** 1477889285
- **Authorized official:** DR. CLIFFORD W FETTERS MD (PRESIDENT)
- **Authorized official phone:** (317) 663-7128

## Contact information

- **Practice address:** 11900 N PENNSYLVANIA ST, SUITE 200, CARMEL, IN 46032-4693
- **Practice address phone:** (317) 663-7123
- **Practice address fax:** (317) 663-7123
- **Mailing address:** 11900 N PENNSYLVANIA ST, SUITE 200, CARMEL, IN 46032-4693
- **Mailing address phone:** (317) 663-7123
- **Mailing address fax:** (317) 663-7123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01034557A | IN | Yes |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 10/29/2009