Organization
MEDICAL EVALUATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS WREGE (SOLE PROPRIETOR ADMINISTRATOR)
(317) 283-8113
Entity
Organization
Contact information
Practice address
3833 N MERIDIAN ST, SUITE 10, INDIANAPOLIS, IN 46208-4039
(317) 283-8113
Mailing address
3833 N MERIDIAN ST, SUITE 10, INDIANAPOLIS, IN 46208-4039
(317) 283-8113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01056999A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200519320
—
IN
Enumeration date
05/04/2007
Last updated
06/25/2008
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