Organization
PERSONALIZED HEALTHCARE OF CARMEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD W FETTERS MD (PRESIDENT)
(317) 663-7128
Entity
Organization
Contact information
Practice address
11900 N PENNSYLVANIA ST, SUITE 200, CARMEL, IN 46032-4693
(317) 663-7123
(317) 663-7123
Mailing address
11900 N PENNSYLVANIA ST, SUITE 200, CARMEL, IN 46032-4693
(317) 663-7123
(317) 663-7123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01034557A
IN
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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