Organization
L.B. TUBERGEN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L B TUBERGEN MD (PRESIDENT)
(317) 243-2888
Entity
Organization
Contact information
Practice address
5620 CRAWFORDSVILLE RD STE K, INDIANAPOLIS, IN 46224-3726
(317) 243-2888
Mailing address
6534 BERGESON CT, INDIANAPOLIS, IN 46278-2226
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
01025706
IN
Other
Enumeration date
03/19/2007
Last updated
07/16/2007
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