Organization
INDIANA EXCEPTIONAL MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARIN MCMANAWAY (OFFICE MANAGER)
(812) 402-4645
Entity
Organization
Contact information
Practice address
4972 LINCOLN AVE, STE #101, EVANSVILLE, IN 47715-7909
(812) 402-3700
(812) 402-4611
Mailing address
4972 LINCOLN AVE, STE #101, EVANSVILLE, IN 47715-7909
(812) 402-3700
(812) 402-4611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061287A
IN
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043282627
INDIVIDUAL NPI
—
05
—
200807410A
—
IN
Enumeration date
10/23/2009
Last updated
04/28/2017
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