Organization
SOUTHERN INDIANA UROLOGIC CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL J MCALEESE MD (OWNER)
(812) 376-9261
Entity
Organization
Contact information
Practice address
2475 N PARK DR STE 10, COLUMBUS, IN 47203-2215
(812) 376-9261
(812) 378-9518
Mailing address
2475 N PARK DR STE 10, COLUMBUS, IN 47203-2215
(812) 376-9261
(812) 378-9518
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200328660
—
IN
Enumeration date
12/01/2006
Last updated
01/27/2011
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