Individual
DR. GAIL LYNNE GOETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1030 E COUNTY LINE ROAD SUITE B-2, INDIANAPOLIS, IN 46277-0001
(317) 887-6060
(317) 859-5946
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01036971
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087993
ANTHEM
IN
05
—
100351160
—
IN
Enumeration date
06/10/2005
Last updated
03/20/2021
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