Individual
ANDREW M COUGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10421 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-1243
(317) 272-7013
(317) 272-7007
Mailing address
10421 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-1243
(317) 272-7013
(317) 272-7007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057861
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200470630
—
IN
Enumeration date
10/02/2006
Last updated
03/20/2021
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