Individual
ERIN ZUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8040 CLEARVISTA PARKWAY, SUITE 290, INDIANAPOLIS, IN 46256-5604
(317) 621-7780
(317) 621-7783
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01068200A
IN
208600000X
Surgery Physician
4301093898
MI
2086X0206X
Surgical Oncology Physician
Primary
01068200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681401
ANTHEM
IN
01
—
000000780865
ANTHEM
IN
05
—
200986110
—
IN
01
—
P01157067
RR MEDICARE PTAN
IN
Enumeration date
05/19/2009
Last updated
11/27/2023
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