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Organization

ERTEL AND COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMY KILEY ERTEL M.D. (MEDICAL DIRECTOR)
(317) 577-2777
Entity
Organization

Contact information

Practice address
9795 CROSSPOINT BLVD, SUITE 170, INDIANAPOLIS, IN 46256-3354
(317) 577-2777
(317) 577-2954
Mailing address
9795 CROSSPOINT BLVD, SUITE 170, INDIANAPOLIS, IN 46256-3354
(317) 577-2777
(317) 577-2954

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01049468A
IN

Other

Enumeration date
06/13/2014
Last updated
06/13/2014
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