Organization
ZOLLMAN PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WALLACE ZOLLMAN MD (OWNER)
(317) 328-1100
Entity
Organization
Contact information
Practice address
8227 NORTHWEST BLVD, SUITE 290, INDIANAPOLIS, IN 46278-1387
(317) 328-1100
(317) 334-9228
Mailing address
8227 NORTHWEST BLVD, SUITE 290, INDIANAPOLIS, IN 46278-1387
(317) 328-1100
(317) 334-9228
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01023513B
IN
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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