Organization
MUNCIE OTOLARYNGOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE P PHILIPPSEN MD (PRESIDENT)
(765) 284-2172
Entity
Organization
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 501, MUNCIE, IN 47303-3409
(765) 284-2172
(765) 288-1292
Mailing address
2525 W UNIVERSITY AVE, SUITE 501, MUNCIE, IN 47303-3409
(765) 284-2172
(765) 288-1292
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107020
—
IN
Enumeration date
12/19/2006
Last updated
06/05/2014
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