Organization
HOOSIER MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILFORD (PRESIDENT)
(317) 721-6704
Entity
Organization
Contact information
Practice address
7750 ZIONSVILLE RD STE 850-B, INDIANAPOLIS, IN 46268-5126
(317) 721-6704
Mailing address
7750 ZIONSVILLE RD STE 850-B, INDIANAPOLIS, IN 46268-5126
(317) 721-6704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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