Individual
CHRISTIAN O VERHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 NOBLE CREEK DR, NOBLESVILLE, IN 46060-3117
(317) 773-8483
(317) 776-0442
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01039502
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081515
ANTHEM
IN
05
—
100097550
—
IN
01
—
Q0071828
SHO
IN
Enumeration date
12/29/2005
Last updated
09/22/2020
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