Individual
JONATHAN WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 N SENATE AVE # C100, INDIANAPOLIS, IN 46202-5306
(317) 962-2390
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01085830A
IN
Other
Enumeration date
04/21/2017
Last updated
08/02/2021
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