Individual
DR. NILES ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8945 N MERIDIAN ST, SUITE 110, INDIANAPOLIS, IN 46260-5387
(317) 752-8735
Mailing address
8945 N MERIDIAN ST, SUITE 110, INDIANAPOLIS, IN 46260-5387
(317) 752-8735
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01037123A
IN
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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