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Individual

MICHAEL VENTURINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8075 N SHADELAND AVE, 200, INDIANAPOLIS, IN 46250-2693
(317) 621-8500
(317) 621-8501
Mailing address
8180 CLEARVISTA PKWY, SUITE 230, INDIANAPOLIS, IN 46256-5629

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01030011A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100260670B
IN
01
4004486
AETNA
IN
01
P01214691
RR MEDICARE PTAN
IN
Enumeration date
07/19/2005
Last updated
01/31/2014
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