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Individual

RONALD P BURWINKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11725 ILLINOIS STREET, SUITE 465, CARMEL, IN 46032-3010
(317) 817-0010
(317) 817-0012
Mailing address
950 N MERIDIAN ST, STE 500, INDIANAPOLIS, IN 46204-3908
(317) 962-4942
(317) 962-4950

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01051393A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200233100
IN
05
6402228800
KY
01
P00845898
RAILROAD MEDICARE
IN
Enumeration date
08/10/2005
Last updated
10/18/2010
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