Individual
MATTHEW T. VAN HOOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13100 E 136TH ST STE 2000, FISHERS, IN 46037-9440
(317) 688-5980
Mailing address
13100 E 136TH ST STE 2000, FISHERS, IN 46037-9440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003666A
IN
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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