Individual
CRYSTAL SEUDEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8075 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2694
(317) 621-8000
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01091056A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/05/2017
Last updated
07/17/2023
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