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Individual

CAROLINE ELIZABETH ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
550 N. UNIVERSITY BOULEVARD, UH 2440, INDIANAPOLIS, IN 46202-0001
(317) 944-8182
(317) 944-7417
Mailing address
550 N. UNIVERSITY BOULEVARD, UH 2440, INDIANAPOLIS, IN 46202
(317) 944-8182
(317) 944-7417

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01078682A
IN
207V00000X
Obstetrics & Gynecology Physician
ML60156663
WA
207VM0101X
Maternal & Fetal Medicine Physician
01078682A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300005054
IN
01
896330036
MEDICARE PTAN
IN
Enumeration date
04/14/2010
Last updated
03/06/2025
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