Individual
JAMES T FESENMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 RONALD REAGAN PKWY, STE 141, AVON, IN 46123-6913
(317) 948-5450
(317) 217-2585
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01040145A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333460
ANTHEM
IN
05
—
100334160
—
IN
Enumeration date
07/27/2006
Last updated
03/07/2025
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