Individual
CARL L METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 S MAIN ST, EMERGENCY DEPARTMENT, CROWN POINT, IN 46307-8481
(219) 757-6310
(219) 757-6312
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7241
(317) 528-4284
(317) 865-8355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01053843A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223690
ANTHEM BCBS
IN
01
—
000000721932
ANTHEM TRADITIONAL
IN
05
—
200324600
—
IN
01
—
90001082
BCBS
IL
01
—
930115902
MEDICARE RAILROAD
IN
Enumeration date
01/24/2006
Last updated
05/01/2013
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