Organization
INDIANA PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J DEAL M.D. (PRESIDENT)
(317) 884-1752
Entity
Organization
Contact information
Practice address
8122 MADISON AVE, INDIANAPOLIS, IN 46227-6076
(317) 884-1752
(317) 884-1753
Mailing address
8122 MADISON AVE, INDIANAPOLIS, IN 46227-6076
(317) 884-1752
(317) 884-1753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01024942A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201213390
—
IN
Enumeration date
12/06/2013
Last updated
12/21/2016
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