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Organization

INDIANA UNIVERSITY-METHODIST HOSPITAL

Active
Parent organization
INDIANA -PURDUE UNIVERSITY
Other names
CLARIAN HEALTH MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
INDIANA -PURDUE UNIVERSITY
Authorized official
DR. STYESTOVIA YESTEE STLAUDEREAS JD:/MD;DDO:FACES:PHA (VASCULAR INTERVENTIONAL TECH)
(317) 962-2000
Entity
Organization

Contact information

Practice address
1802 N SENATE AVE, WEST SUITE 402, INDIANAPOLIS, IN 46202
(317) 962-2000
(317) 962-2003
Mailing address
8035 E 34TH ST, INDIANAPOLIS, IN 46226-6401
(317) 962-2000
(317) 962-2003

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
881093
IN

Other

Enumeration date
06/16/2016
Last updated
06/16/2016
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