Organization
DR TERRY MANDEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY JAY MANDEL DO (PHYSICIAN)
(317) 299-2664
Entity
Organization
Contact information
Practice address
4007 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-2712
(317) 299-2664
(317) 299-2665
Mailing address
4007 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-2712
(317) 299-2664
(317) 299-2665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000682
IN
Other
Enumeration date
08/05/2007
Last updated
10/13/2011
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