Individual
JOSEPH RYAN LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
8433 HARCOURT RD, INDIANAPOLIS, IN 46260-2190
(317) 583-7600
Mailing address
7040 WESTHAVEN CIR APT 104, ZIONSVILLE, IN 46077-7758
(231) 492-6212
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
167278
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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