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Individual

CARL WILLIAM HANKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8925 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-2385
(317) 660-4900
(317) 660-7112
Mailing address
8925 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-2385
(317) 660-4900
(317) 660-7112

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
01029310A
IN
207ND0101X
MOHS-Micrographic Surgery Physician
18628
IA
207ND0900X
Dermatopathology Physician
01029310A
IN
207NS0135X
Procedural Dermatology Physician
01029310A
IN
207NS0135X
Procedural Dermatology Physician
18628
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0735829
IA
05
10062850A
IN
01
10702
WELLMARK BCBS
IA
Enumeration date
06/20/2006
Last updated
07/24/2023
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