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Individual

BENJAMIN J RICKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
I-65 AT 21ST STREET, METHODIST HOSPITAL, ROOM B401, INDIANAPOLIS, IN 46206
(317) 962-5975
Mailing address
584 N COUNTY ROAD 1050 E, INDIANAPOLIS, IN 46234-8936

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01065630A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200955260
IN
Enumeration date
06/29/2007
Last updated
09/23/2020
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