Individual
DR. JOHN JOSEPH FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2332
(317) 706-7246
(317) 706-3417
Mailing address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2332
(317) 706-7246
(317) 706-3417
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01031534A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
01031534A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100473440
—
IN
Enumeration date
09/30/2005
Last updated
01/25/2023
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