Individual
MARY LOU HULSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11530 ALLISONVILLE RD STE 175, FISHERS, IN 46038-1865
(317) 348-3228
(317) 348-3228
Mailing address
11530 ALLISONVILLE RD STE 175, FISHERS, IN 46038-1865
(317) 348-3228
(317) 348-3228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047254A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344909
ANTHEM
IN
05
—
200201750
—
IN
Enumeration date
02/17/2006
Last updated
03/23/2024
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