Individual
AMY RIPPERGER DEMILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3507 E CARMEL DR, CARMEL, IN 46033-4314
(317) 621-6701
Mailing address
3507 E CARMEL DR, CARMEL, IN 46033-4314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010156461A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000572836
ANTHEM
IN
01
—
P01291551
RAILROAD MEDICARE
IN
Enumeration date
06/21/2006
Last updated
12/27/2019
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