Individual
DR. ALAN PETER SAWCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 355-6900
(812) 339-1292
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01032243A
IN
2086S0102X
Surgical Critical Care Physician
01032243A
IN
2086S0129X
Vascular Surgery Physician
Primary
01032243A
IN
2086S0129X
Vascular Surgery Physician
1032243A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100360650
—
IN
01
—
264430002
MEDICARE PTAN
IN
01
—
273010D
MEDICARE PTAN
IN
01
—
815500268
MEDICARE PTAN
IN
Enumeration date
04/21/2006
Last updated
08/17/2023
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