Organization
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Active
Parent organization
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Other names
JWM Neurology PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Authorized official
SUSAN MATTOX (CFO/CIO)
(317) 308-2828
Entity
Organization
Contact information
Practice address
1400 N RITTER AVE STE 220, INDIANAPOLIS, IN 46219-3049
(317) 308-2800
(317) 715-5618
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 308-2800
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218760A
—
IN
01
—
CJ9849
MEDICARE RR
—
Enumeration date
05/11/2006
Last updated
05/09/2025
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