Individual
MIKE SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 BELLEMEADE AVE, SUITE 200-B, EVANSVILLE, IN 47714-0100
(812) 485-3737
(812) 485-1704
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
(812) 485-1220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01061161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200819620
—
IN
Enumeration date
05/09/2006
Last updated
03/30/2015
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