Individual
MCCARTHY COSTELLO FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
(347) 907-9249
Mailing address
543 W HOOSIER COURT AVE, BLOOMINGTON, IN 47404-2219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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