Individual
SUSAN CAVINS-STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14535A HAZEL DELL PKWY, CARMEL, IN 46033-9401
(317) 705-4360
(317) 705-4361
Mailing address
PO BOX 869, NOBLESVILLE, IN 46061-0869
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042857
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510096
ANTHEM
—
01
—
080177352
MEDICARE RR
IN
05
—
200089200
—
IN
01
—
Q0147067
SHO
—
Enumeration date
12/29/2005
Last updated
12/23/2010
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