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Individual

ETHAN CHERNIVEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
545 BARNHILL DR # EH125, INDIANAPOLIS, IN 46202-5112
(317) 274-7436
Mailing address
545 BARNHILL DR # EH125, INDIANAPOLIS, IN 46202-5112
(317) 274-7436

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01095904A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/16/2022
Last updated
05/27/2025
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