Individual
DR. CHRISTINE T CIOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5210 E THOMPSON RD, INDIANAPOLIS, IN 46237-2085
(317) 899-5546
Mailing address
PO BOX 4780, BLOOMINGTON, IN 47402-4780
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002420A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02002420A
INDIANA LICENSE
IN
01
—
02002420B
CSR
IN
Enumeration date
07/05/2006
Last updated
03/07/2023
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