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Individual

RONALD K ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
740 W GREEN MEADOWS DR, SUITE 110, GREENFIELD, IN 46140-3098
(317) 318-7000
(317) 318-7005
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 318-7712
(317) 318-7005

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028538A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000313027
ANTHEM
IN
05
100153420
IN
01
P00080655
RR MEDICARE
IN
Enumeration date
05/26/2006
Last updated
01/31/2017
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