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Individual

NORMAN MINDREBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14535A HAZEL DELL PKWY, CARMEL, IN 46033-9401
(317) 770-3777
(317) 770-1727
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01036857A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01036857A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200102730
IN
Enumeration date
04/07/2006
Last updated
09/21/2020
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