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Individual

DR. MARIMELIA SKOVRONSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1017 W 52ND ST, INDIANAPOLIS, IN 46228
(610) 745-5473
Mailing address
1017 W 52ND ST, INDIANAPOLIS, IN 46228-2463
(610) 745-5473

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD419028
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000035851
DE
Enumeration date
07/07/2005
Last updated
05/30/2018
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