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Individual

WAYNE CONOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8091 TOWNSHIP LINE RD STE 108, INDIANAPOLIS, IN 46260-2495
(317) 415-8100
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01060664
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200525070
IN
01
P01678722
MEDICARE RR
IN
Enumeration date
08/30/2006
Last updated
10/17/2016
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