Individual
DR. ELLEN B MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5214 WOODSIDE DR, INDIANAPOLIS, IN 46228-2302
(317) 254-0844
Mailing address
5214 WOODSIDE DR, INDIANAPOLIS, IN 46228-2302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041298A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100350490
—
IN
Enumeration date
05/02/2006
Last updated
07/16/2012
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