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Individual

PETER CUSHMAN HOUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10580 N MERIDIAN ST, CARMEL, IN 46290-1028
(317) 583-5000
Mailing address
10580 N MERIDIAN ST, CARMEL, IN 46290-1028

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01039863A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01039863
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100324800
IN
Enumeration date
08/09/2005
Last updated
01/24/2024
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