Individual
HUBERT FORNALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE STE 204, INDIANAPOLIS, IN 46237-8601
(317) 528-2555
(317) 528-2566
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01067752A
IN
207V00000X
Obstetrics & Gynecology Physician
37108
IA
207V00000X
Obstetrics & Gynecology Physician
MT181806
PA
207VX0201X
Gynecologic Oncology Physician
Primary
01067752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200978000
—
IN
Enumeration date
05/18/2007
Last updated
07/25/2025
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