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Individual

CHARLES D VANMETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 PENNSYLVANIA PKWY, #200, INDIANAPOLIS, IN 46280-2301
(317) 817-1200
(317) 208-1551
Mailing address
201 PENNSYLVANIA PKWY, #200, INDIANAPOLIS, IN 46280-2301
(317) 817-1200
(317) 208-1551

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01031290A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100461050A
IN
01
200004807
RR MEDICARE PIN
IN
Enumeration date
05/31/2006
Last updated
12/01/2009
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