Organization
INDIANA PHYSICIAN MANAGEMENT-CLAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART BICK MD (PRESIDENT)
(317) 338-5053
Entity
Organization
Contact information
Practice address
1206 E NATIONAL AVE, BRAZIL, IN 47834-2718
(317) 802-3113
(317) 870-0499
Mailing address
3946 SOLUTIONS CTR, CHICAGO, IL 60677-3009
(317) 802-3113
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201012070
—
IN
Enumeration date
01/11/2011
Last updated
06/10/2011
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