Organization
DIAGNOSTIC RHEUMATOLOGY AND RESEARCH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T STACK MD PHD (OWNER)
(317) 859-6364
Entity
Organization
Contact information
Practice address
6447 S EAST ST STE A, INDIANAPOLIS, IN 46227-2119
(317) 859-6364
(317) 859-7537
Mailing address
6447 S EAST ST STE A, INDIANAPOLIS, IN 46227-2119
(317) 859-6364
(317) 859-7537
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
61026374A
IN
Other
Enumeration date
07/13/2006
Last updated
12/20/2011
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