Organization
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Active
Parent organization
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Other names
CENTRAL INDIANA NEUROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Authorized official
SUSAN MATTOX (CFO/CIO)
(317) 308-2800
Entity
Organization
Contact information
Practice address
1210 MEDICAL ARTS BLVD STE 114, ANDERSON, IN 46011-3442
(765) 298-4545
(765) 298-4945
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 308-2800
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218760P
—
IN
01
—
CJ9849
MEDICARE RR
IN
Enumeration date
02/05/2013
Last updated
05/09/2025
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