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Organization
EMGI - UNIVERSITY, LLC
Active
Organization
EMGI - UNIVERSITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SHUFFLEBARGER MD (ACCOUNT EXECUTIVE)
(317) 802-6299
Entity
Organization
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-4705
Mailing address
2449 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(317) 802-6299
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
02/28/2011
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