Individual
ANTHONY CHARLES SIMCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3750 LANDMARK DR STE A, LAFAYETTE, IN 47905-6652
(765) 448-4511
Mailing address
3750 LANDMARK DR STE A, LAFAYETTE, IN 47905-6652
(765) 448-4511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01036135A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100351480
—
IN
Enumeration date
07/07/2005
Last updated
03/29/2021
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