Individual
PATRICK M MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5908 E STOP 11 RD, INDIANAPOLIS, IN 46237-8683
(317) 497-6800
(317) 497-6801
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056455A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641440
ANTHEM
IN
05
—
200389740
—
IN
Enumeration date
07/05/2006
Last updated
11/27/2023
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