Individual
DR. RICHARD L MAKOWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6520 PENNSYLVANIA ST, INDIANAPOLIS, IN 46220
(773) 425-3562
Mailing address
6520 PENNSYLVANIA ST, INDIANAPOLIS, IN 46220
(773) 425-3562
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01050271A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01050271A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
036095190
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004539
—
IN
01
—
P01161779
RR MEDICARE
IL
Enumeration date
02/08/2006
Last updated
11/14/2024
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