Individual
MARK RODEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-7150
(317) 274-2940
Mailing address
PO BOX 636762, CINCINNATI, OH 45263-6762
(317) 948-0944
(317) 274-2940
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
01054552
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01054552A
IN
Other
Enumeration date
09/07/2006
Last updated
12/14/2018
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