Organization
MIDWEST GASTROENTEROLOGY LLC
Active
Organization
MIDWEST GASTROENTEROLOGY LLC
Active
Other names
Sedation Services of Indiana LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MICHAEL RN (PRACTICE ADMINISTRATOR)
(317) 865-2955
Entity
Organization
Contact information
Practice address
8051 S EMERSON AVE STE 150, INDIANAPOLIS, IN 46237
(317) 865-2955
(317) 865-2954
Mailing address
8051 S EMERSON AVE STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2954
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/30/2018
Last updated
04/06/2023
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