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Individual

ALEX IAN FRASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3969 CHADWICK DR, CARMEL, IN 46033-4810
(317) 816-6924
(195) 265-8195
Mailing address
3969 CHADWICK DR, CARMEL, IN 46033-4810
(317) 816-6924
(195) 265-8195

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17685
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0478982
IA
01
05187
WELLMARK BCBS
IA
Enumeration date
08/24/2005
Last updated
08/08/2012
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