Individual
JAMES EDWIN BOLANDER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5510 S EAST ST STE H, INDIANAPOLIS, IN 46227-1939
(317) 924-8425
(317) 924-8424
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
(317) 882-2873
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01039451
IN
207RN0300X
Nephrology Physician
Primary
01039451A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083029
ANTHEM NUMBER
IN
05
—
200026630
—
IN
Enumeration date
07/07/2005
Last updated
11/29/2022
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