Individual
DR. PETER H BAENZIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8424 NAAB RD STE 1H, INDIANAPOLIS, IN 46260-1954
(317) 338-8680
Mailing address
8424 NAAB RD STE 1H, INDIANAPOLIS, IN 46260-1954
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
01078975A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017673A.
IN
Other
Enumeration date
06/08/2014
Last updated
05/20/2022
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