Organization
AGEWELL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ALAN RAPPAPORT M.D. (PRESIDENT)
(317) 846-9792
Entity
Organization
Contact information
Practice address
9292 N MERIDIAN ST, SUITE 107, INDIANAPOLIS, IN 46260-1857
(317) 846-9792
Mailing address
9292 N MERIDIAN ST, SUITE 107, INDIANAPOLIS, IN 46260-1857
(317) 846-9792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50003950A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
50003950A
IN
Other
Enumeration date
04/26/2007
Last updated
05/15/2008
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