Individual
DR. EDWARD BRICE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1616 W 116TH ST, CARMEL, IN 46032-8857
(317) 844-8190
(317) 569-0123
Mailing address
1616 W 116TH ST, CARMEL, IN 46032-8857
(317) 844-8190
(317) 569-0123
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01022613A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01022163A
STATE LICENSE
IN
Enumeration date
02/22/2007
Last updated
07/08/2007
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