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Individual

DR. THOMAS E MCSOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11725 N ILLINOIS ST, SUITE 445, CARMEL, IN 46032-3010
(317) 573-4370
(317) 819-0044
Mailing address
9002 N MERIDIAN ST, SUITE 222, INDIANAPOLIS, IN 46260-5350
(317) 573-4370
(317) 819-0044

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01028981A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040000759
MEDICARE RAILROAD
IN
05
100237750
IN
Enumeration date
01/03/2007
Last updated
12/02/2013
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