Individual
JEANNA SHULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 385-3255
Mailing address
6015 CROWS NEST DR, INDIANAPOLIS, IN 46228-1409
(317) 385-3255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01062461A
IN
Other
Enumeration date
06/01/2007
Last updated
07/09/2013
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