Individual
THERESA ANN SOWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 446-4695
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01044109A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030401
—
IN
Enumeration date
04/25/2007
Last updated
08/08/2023
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