Individual
DR. ELIM SHIH FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 W OAK ST STE 101, ZIONSVILLE, IN 46077-3835
(317) 733-6300
(317) 733-6315
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01079637A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010815
—
IN
Enumeration date
04/14/2011
Last updated
04/26/2021
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