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Organization

MIDWEST COLON & RECTAL SURGERY INC

Active
Other names
Midwest Colon & Rectal Surgery PC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANEAN YOUNG (OFFICE MANAGER)
(317) 844-5273
Entity
Organization

Contact information

Practice address
13421 OLD MERIDIAN ST, SUITE 210, CARMEL, IN 46032-1427
(317) 844-5273
(317) 844-5709
Mailing address
13421 OLD MERIDIAN ST, SUITE 210, CARMEL, IN 46032-1427
(317) 844-5273
(317) 844-5709

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200107880A
IN
Enumeration date
08/12/2006
Last updated
07/31/2014
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