Individual
SUE NONWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-9288
(317) 956-6289
Mailing address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-9288
(317) 956-6289
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001261A
IN
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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