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Individual

JOSHUA T KLUETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7930 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2943
(317) 497-6024
(317) 497-2507
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
02004210A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201157760
IN
01
P01221104
RR MEDICARE PTAN
IN
Enumeration date
08/12/2008
Last updated
01/19/2024
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