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NATHANIEL HARVEY HIMELSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-2093
(317) 338-4200
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01020452
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100044690
IN
Enumeration date
10/04/2006
Last updated
05/14/2015
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