Individual
JANINE M FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD, 1ST FL, INDIANAPOLIS, IN 46202-2872
(317) 630-6523
(317) 692-2817
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045584A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086789
ANTHEM
IN
05
—
200117150
—
IN
Enumeration date
04/26/2006
Last updated
09/16/2025
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