Individual
MR. TED J WESTLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3419
Mailing address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000142A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000142A
STATE LICENSE
IN
Enumeration date
03/13/2013
Last updated
07/07/2016
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