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Organization

JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN MATTOX (CFO/CIO)
(317) 308-2828
Entity
Organization

Contact information

Practice address
330 N WABASH AVE STE 470, MARION, IN 46952-2685
(317) 308-2800
(765) 865-3935
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 308-2800
(317) 576-6311

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300074758
IN
Enumeration date
04/26/2023
Last updated
05/09/2025
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