Individual
DR. VALERI GOUTSOULIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 865-5171
(317) 865-5176
Mailing address
6100 W 96TH ST, STE 125, INDIANAPOLIS, IN 46278-6005
(317) 715-1800
(317) 715-6200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01059932A
IN
Other
Enumeration date
05/27/2005
Last updated
02/28/2008
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