Individual
JENNIFER L GUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6940 MICHIGAN RD, INDIANAPOLIS, IN 46268-2800
(317) 266-2901
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000841A
IN
363A00000X
Physician Assistant
10000841B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569246
ANTHEM
IN
Enumeration date
05/15/2006
Last updated
09/17/2025
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