Individual
ELISSA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11220 WHITEWATER WAY, FISHERS, IN 46037-4300
(317) 442-1672
Mailing address
11220 WHITEWATER WAY, FISHERS, IN 46037-4300
(317) 442-1672
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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