Individual
DR. CRESO CARNEIRO CALMON BULCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
541 CLINICAL DR, SUITE 600, INDIANAPOLIS, IN 46202-5233
(317) 274-3291
Mailing address
8148 COLUMBIA AVE, MUNSTER, IN 46321-1803
(708) 819-0346
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11014644A
IN
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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