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Organization

AMERICAN HEALTH NETWORK OF INDIANA, LLC

Active
Parent organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Authorized official
BEN H. PARK M.D. (PRESIDENT AND CEO)
(317) 580-6307
Entity
Organization

Contact information

Practice address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
(765) 286-4124
Mailing address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
(765) 286-4124

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RH0003X
Hematology & Oncology Physician
207V00000X
Obstetrics & Gynecology Physician
2085N0904X
Nuclear Radiology Physician
2085R0202X
Diagnostic Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician
208VP0014X
Interventional Pain Medicine Physician
213ES0103X
Foot & Ankle Surgery Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0828280032
DMERC
IN
Enumeration date
06/12/2006
Last updated
01/09/2008
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