Organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF SOUTHWEST INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WAGNER (BILLING MANAGER)
(812) 962-0771
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE SUITE 110, EVANSVILLE, IN 47714
(812) 471-1200
(812) 962-0777
Mailing address
3801 BELLEMEADE SUITE 110, EVANSVILLE, NE 47714
(812) 962-0771
(812) 962-0777
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64019102
—
IN
05
—
64045180
—
IN
05
—
64061286
—
IN
05
—
64291792
—
IN
05
—
64877483
—
IN
05
—
64879513
—
IN
05
—
64880560
—
IN
Enumeration date
05/03/2007
Last updated
08/22/2020
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