Organization
INTERNAL MEDICINE OF SOUTH EAST INDIANA
Active
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
Update your record
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