# M. D. HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1639358641
- **Authorized official:** DR. MARK KEVIN STINE M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (317) 610-3003

## Contact information

- **Practice address:** 6920 PARKDALE PL, SUITE 208, INDIANAPOLIS, IN 46254-5612
- **Practice address phone:** (317) 610-3003
- **Practice address fax:** (317) 610-3005
- **Mailing address:** 6920 PARKDALE PL, SUITE 208, INDIANAPOLIS, IN 46254-5612
- **Mailing address phone:** (317) 610-3003
- **Mailing address fax:** (317) 610-3005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01030274A | IN | Yes |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 03/16/2010