Individual
MIGUEL A SERPA IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
11023903A
IN
208D00000X
General Practice Physician
Primary
36026
PR
Other
Enumeration date
01/25/2019
Last updated
06/23/2026
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