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Individual

JOHN T VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(317) 802-6302
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01038602A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100173130
IN
01
P01723977
RAILROAD PTAN
IN
Enumeration date
07/22/2006
Last updated
11/27/2023
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