Individual
DOUGLAS J KUXHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2401 UNIVERSITY AVE, MUNICE, IN 47303-3428
(765) 747-3241
(765) 281-6567
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02003974A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201066520
—
IN
Enumeration date
09/29/2008
Last updated
02/08/2021
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