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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