Individual
ALAN M GOLICHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8091 TOWNSHIP LINE RD STE 108, INDIANAPOLIS, IN 46260-2495
(317) 415-8100
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01025356A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059980
—
IN
Enumeration date
06/30/2006
Last updated
02/22/2017
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