Individual
MARK HOLBREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8902 N MERIDIAN ST, STE. 100, INDIANAPOLIS, IN 46260-5382
(317) 574-0230
(317) 574-0232
Mailing address
PO BOX 6069, DEPT 198, INDIANAPOLIS, IN 46206-6069
(317) 574-0230
(317) 574-0232
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
01035981
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076229
ANTHEM
IN
05
—
100327390
—
IN
Enumeration date
02/22/2006
Last updated
11/25/2009
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