Individual
JOHN F FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5550 S EAST ST, STE.I, INDIANAPOLIS, IN 46227-1979
(317) 780-4080
(317) 780-4088
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034360A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086720
ANTHEM
IN
05
—
100238510
—
IN
Enumeration date
04/28/2006
Last updated
01/21/2021
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