Organization
NEUROLOGY CLINIC OF INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEI WANG MD (PRESIDENT)
(317) 870-6704
Entity
Organization
Contact information
Practice address
8330 NAAB RD, SUITE #102, INDIANAPOLIS, IN 46260-5925
(317) 870-6704
(317) 870-0499
Mailing address
PO BOX 635361, CINCINNATI, OH 45263-0043
(317) 870-6704
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01055906
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200828640
—
IN
Enumeration date
07/27/2006
Last updated
11/14/2008
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