Individual
JOACHIM WERNICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
447 W 91ST ST, INDIANAPOLIS, IN 46260
(319) 440-2353
Mailing address
447 W 91ST ST, INDIANAPOLIS, IN 46260
(317) 440-2353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01050824A
IN
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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