Individual
ANN S EWBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8240 NAAB RD, SUITE 220, INDIANAPOLIS, IN 46260-1950
(317) 338-7902
(317) 338-7949
Mailing address
8240 NAAB RD, SUITE 220, INDIANAPOLIS, IN 46260-1950
(317) 338-7902
(317) 338-7949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01059606A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200802200
—
IN
Enumeration date
05/18/2006
Last updated
07/27/2010
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