Organization
EMGI-BALL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M SHUFFLEBARGER M.D. (PRESIDENT)
(317) 962-1775
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3241
Mailing address
5633 RELIABLE PARKWAY, CHICAGO, IL 60686-0056
(317) 962-1775
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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