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Individual

MARK I PARTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
11725 ILLINOIS ST STE 275, CARMEL, IN 46032-3009
(317) 944-6467
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002887A
IN
231H00000X
Audiologist
AU3428
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1105285168
ANTHEM PTAN
IN
Enumeration date
07/25/2019
Last updated
08/11/2025
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