Individual
CHARLES M PLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10122 E 10TH ST STE 100, INDIANAPOLIS, IN 46229-2697
(317) 355-5715
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037460A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344910
ANTHEM
IN
05
—
100103310
—
IN
Enumeration date
02/10/2006
Last updated
04/22/2026
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