Organization
NORTHSIDE DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE KUHN M.D. (PHYSICIAN/MANAGING MEMBER)
(317) 849-6600
Entity
Organization
Contact information
Practice address
9865 E 116TH ST STE 200, FISHERS, IN 46037-9238
(317) 849-6600
(317) 849-6601
Mailing address
9865 E 116TH ST, SUITE 200, FISHERS, IN 46037-9238
(317) 849-6600
(317) 849-6601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
01055268A
IN
Other
Enumeration date
02/14/2006
Last updated
02/26/2020
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