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Individual

DR. DAVID MICHAEL FOULK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8040 CLEARVISTA PKWY STE 500, INDIANAPOLIS, IN 46256-5604
(317) 497-6024
(317) 497-2507
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01078150A
IN
207X00000X
Orthopaedic Surgery Physician
35.092334
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01078150A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME106825
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
266180961
MEDICARE PIN
IN
05
300001069
IN
Enumeration date
06/02/2008
Last updated
03/17/2018
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