Individual
BETTY ANNE UYESUGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2655
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2655
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01068230A
IN
390200000X
Student in an Organized Health Care Education/Training Program
01068230A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11013332A
IN
Other
Enumeration date
06/05/2008
Last updated
05/01/2012
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