Individual
CARA VIVIAN VAN WEELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5255 E STOP 11 RD, SUITE 300, INDIANAPOLIS, IN 46237-6340
(317) 528-4723
(317) 528-4699
Mailing address
PO BOX 781076 SUITE 300, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001600A
IN
Other
Enumeration date
07/25/2013
Last updated
03/13/2021
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