Individual
MARIE C. VRABLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N. SENATE BOULEVARD, AG001, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 962-8652
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01070313A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11014851A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201064580
—
IN
Enumeration date
06/15/2009
Last updated
03/06/2014
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