Individual
ANNE KOWATSCH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7830 MCFARLAND LN, INDIANAPOLIS, IN 46237-4708
(317) 865-2700
(317) 865-2711
Mailing address
7830 MCFARLAND LN, INDIANAPOLIS, IN 46237-4708
(317) 862-2700
(317) 865-2711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01070944A
IN
208D00000X
General Practice Physician
0107044
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085570
—
IN
Enumeration date
03/30/2009
Last updated
12/20/2023
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