Individual
CALLIE A. SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-5261
(317) 528-5026
Mailing address
PO BOX 7112, DEPT. #31, INDIANAPOLIS, IN 46207-7112
(317) 802-3151
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000790
IN
Other
Enumeration date
08/12/2006
Last updated
04/02/2021
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