Organization
FRANKLIN RADIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M DESROSIERS M.D. (PHYSICIAN)
(317) 370-8787
Entity
Organization
Contact information
Practice address
310 BIRCH ST, CROWN POINT, IN 46307-2607
(317) 370-8787
Mailing address
7002 WARWICK RD, INDIANAPOLIS, IN 46220-1051
(317) 370-8787
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
01047188
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279370
—
IN
Enumeration date
01/22/2013
Last updated
04/02/2015
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