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Individual

JOEL B MCCUAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 742-2441
(765) 838-6302
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01035448A
IN
207VG0400X
Gynecology Physician
Primary
01035448A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000324384
ANTHEM PROVIDER NUMBER
IN
01
000000738551
ANTHEM PROVIDER NUMBER
IN
05
100232830
IN
01
10784272
CAQH
IN
01
P00256960
MEDICARE RAILROAD NUMBER
IN
Enumeration date
03/14/2006
Last updated
01/27/2021
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