Organization
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC
Active
Other names
JWM Neurology PC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MATTOX (CFO/CIO)
(317) 308-2800
Entity
Organization
Contact information
Practice address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 308-2800
(317) 576-6311
Mailing address
PO BOX 2152, INDIANAPOLIS, IN 46206-2152
(317) 308-2800
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218760
—
IN
01
—
CJ9849
MEDICARE RR
—
Enumeration date
10/09/2006
Last updated
05/09/2025
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