Individual
CONNOR LEE EHNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
550 UNIVERSITY BLVD RM 641, INDIANAPOLIS, IN 46202-5149
(317) 948-2444
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
01093870A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2023
Last updated
06/23/2024
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