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Organization

MIDWEST CENTER FOR PELVIC HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAT BYRNES (PRACTICE ADMINISTRATOR)
(949) 615-9065
Entity
Organization

Contact information

Practice address
210 E 91ST ST STE B, INDIANAPOLIS, IN 46240-1570
(317) 793-2819
Mailing address
PO BOX 80241, INDIANAPOLIS, IN 46280-0241

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
11/26/2021
Last updated
11/26/2021
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