Individual
ERIC ALAN WIEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 BARNHILL DRIVE, EH 5TH FLOOR UNIVERSITY SURGEONS, INC, INDIANAPOLIS, IN 46202-5125
(317) 274-3086
(317) 274-0241
Mailing address
545 BARNHILL DRIVE, EH 5TH FLOOR UNIVERSITY SURGEONS, INC, INDIANAPOLIS, IN 46202-5125
(317) 274-4990
(317) 274-0241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1039431A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100354900
—
IN
Enumeration date
04/27/2006
Last updated
07/01/2010
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