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Organization
RICHARD L. ROUDEBUSH VA MEDICAL CENTER
Active
Organization
RICHARD L. ROUDEBUSH VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE MADOU MSW (SOCIAL WORKER)
(317) 988-2623
Entity
Organization
Contact information
Practice address
3602 E MICHIGAN ST, INDIANAPOLIS, IN 46201-3466
(317) 988-2623
Mailing address
12306 BLUE SPRINGS LN, FISHERS, IN 46037-4053
(317) 576-9867
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
NULL
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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