Individual
DR. STEPHANIE NICOLE HURWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
(317) 491-6534
Mailing address
980 W WALNUT ST # R3C321C, INDIANAPOLIS, IN 46202-5188
(941) 780-2037
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
MD479784
PA
207ZH0000X
Hematology (Pathology) Physician
01093855A
IN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
01093855A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300094259
—
IN
Enumeration date
03/21/2019
Last updated
06/05/2025
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