Organization
COLON & RECTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE HANSEN (ADMINISTRATOR)
(317) 841-8090
Entity
Organization
Contact information
Practice address
7430 N SHADELAND AVE, COLON & RECTAL CARE SUITE 200, INDIANAPOLIS, IN 46250
(317) 841-8090
(317) 577-7538
Mailing address
7430 N SHADELAND AVE, COLON & RECTAL CARE SUITE 200, INDIANAPOLIS, IN 46250
(317) 841-8090
(317) 577-7538
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
50002167A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236230A
—
IN
Enumeration date
08/16/2006
Last updated
05/04/2015
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