Individual
DR. SAMUEL LOUIS COREY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8040 CLEARVISTA PKWY STE 310, INDIANAPOLIS, IN 46256-4673
(317) 621-2200
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01087348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300086232
—
IN
Enumeration date
05/06/2014
Last updated
02/06/2024
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