Individual
JOHN KUNZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7910 E WASHINGTON ST, SUITE 200, INDIANAPOLIS, IN 46219-6803
(317) 355-7171
(317) 355-9022
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01058249A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200481430
—
IN
01
—
P01678714
RR MEDICARE
IN
Enumeration date
05/25/2006
Last updated
11/27/2023
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