Individual
BLAIR MICHAEL SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11725 ILLINOIS ST, CARMEL, IN 46032-3008
(317) 948-5450
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01085792A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019574A
IN
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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