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Organization

ALLERGY AND ASTHMA CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK HOLBREICH M.D. (OWNER)
(317) 574-0230
Entity
Organization

Contact information

Practice address
8902 N MERIDAI STREET, SUITE 100, INDIANAPOLIS, IN 46260
(317) 574-0230
(317) 574-0232
Mailing address
8902 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46260-5382
(317) 574-0230
(317) 574-0232

Taxonomy

Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
01035981
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100327390
IN
Enumeration date
04/29/2016
Last updated
04/29/2016
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