Organization
INDIANAPOLIS IMMUNIZATION GROUP
Active
Other names
Passport Health Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DURS (PRESIDENT)
(317) 844-2990
Entity
Organization
Contact information
Practice address
1030 E 86TH ST, SUITE E, INDIANAPOLIS, IN 46240-1866
(317) 844-2990
(317) 844-1706
Mailing address
1030 E 86TH ST, SUITE E, INDIANAPOLIS, IN 46240-1866
(317) 844-2990
(317) 844-1706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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