Organization
INTERNAL MEDICINE OF SOUTH EAST INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ROBERTSON (PRACTICE MANAGER)
(812) 933-1858
Entity
Organization
Contact information
Practice address
1088 STATE ROAD 229, BATESVILLE, IN 47006-6810
(812) 933-1858
(812) 933-1968
Mailing address
1088 STATE ROAD 229, BATESVILLE, IN 47006-6810
(812) 933-1858
(812) 933-1968
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01052054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518085661
—
IN
05
—
200245400B
—
IN
Enumeration date
03/27/2007
Last updated
06/29/2015
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