Individual
NORMAN FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6910 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-6337
(317) 621-6366
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01025348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313343
ANTHEM
IN
05
—
100057930
—
IN
01
—
P00971550
RR MEDICARE PTAN
IN
Enumeration date
07/28/2006
Last updated
11/27/2023
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