Individual
MEGAN ELIZABETH VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9795 E 116TH ST, FISHERS, IN 46037-2822
(317) 913-8100
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01076435A
IN
207R00000X
Internal Medicine Physician
BF4649604-A785
IL
208000000X
Pediatrics Physician
01076435A
IN
208000000X
Pediatrics Physician
BF4649604-A785
IL
Other
Enumeration date
04/07/2011
Last updated
03/04/2016
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