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Organization

JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC

Active
Parent organization
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Other names
JWM Neurology PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Authorized official
SUSAN MATTOX (CFO/CIO)
(317) 308-2800
Entity
Organization

Contact information

Practice address
1030 E COUNTY LINE RD STE B1, INDIANAPOLIS, IN 46227-2933
(317) 308-2800
(317) 222-4931
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 308-2800
(317) 576-6311

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300012376
IN
Enumeration date
03/29/2018
Last updated
05/09/2025
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