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Organization
INDIANA UNIVERSITY HEALTH PROTON THERAPY CENTER, LLC
Active
Organization
INDIANA UNIVERSITY HEALTH PROTON THERAPY CENTER, LLC
Active
Other names
Midwest Proton Radiotherapy Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KERSTIENS CPA (COO/CFO)
(812) 349-5028
Entity
Organization
Contact information
Practice address
2425 MILO B. SAMPSON LANE, BLOOMINGTON, IN 47408-1398
(812) 349-5074
(812) 349-5046
Mailing address
2425 MILO B. SAMPSON LANE, BLOOMINGTON, IN 47408-1398
(812) 349-5074
(812) 349-5046
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
NA
NULL
Other
Enumeration date
09/28/2006
Last updated
11/28/2012
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