Individual
STINA WEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 INTELLIPLEX DR STE 260, SHELBYVILLE, IN 46176-8580
(317) 398-0121
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01048857A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200200900
—
IN
Enumeration date
06/03/2006
Last updated
09/09/2020
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