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Individual

MARC J PINCHOUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 806-8296
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 806-8296

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01061463
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528083417
MI
05
200808050
IN
05
2561660
OH
01
822400048
MEDICARE PTAN
IN
Enumeration date
07/13/2006
Last updated
01/13/2021
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