Individual
TARA SUZANNE WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 926-1507
(317) 926-1508
Mailing address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 926-1507
(317) 926-1508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01071536A
IN
Other
Enumeration date
07/29/2013
Last updated
06/02/2023
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