Organization
OURHEALTH PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MICHAEL WELLS (PRESIDENT)
(317) 522-0823
Entity
Organization
Contact information
Practice address
2350 N SHADELAND AVE, INDIANAPOLIS, IN 46219-1736
(866) 434-3255
Mailing address
10 W MARKET ST STE 2900, INDIANAPOLIS, IN 46204-2964
(866) 434-3255
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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