Individual
DR. JAMIE S STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4050 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-2615
(317) 283-8162
(317) 283-3644
Mailing address
4050 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-2615
(317) 283-8162
(317) 283-3644
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01024994A
IN
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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