Individual
DR. JOANNA MANGHELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1701 N SENATE BLVD, AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 963-2514
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004794A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017652A
IN
Other
Enumeration date
05/29/2014
Last updated
07/21/2016
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