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Individual

MICHELLE OVERFELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-4705
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01050917
IN
207P00000X
Emergency Medicine Physician
Primary
01050917A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200238700
IN
Enumeration date
06/07/2006
Last updated
03/11/2020
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