Individual
DR. ANNE NEITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
439 N MCCULLUM ST, KNIGHTSTOWN, IN 46148-1138
(765) 345-7780
(765) 345-9123
Mailing address
5851 BEISINGER PL, INDIANAPOLIS, IN 46237-3150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009916
IN
Other
Enumeration date
11/03/2006
Last updated
07/09/2007
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