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Organization

LASER AND SKIN SURGERY CENTER OF INDIANA, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL WILLIAM HANKE M.D. (OWNER)
(317) 660-4900
Entity
Organization

Contact information

Practice address
8925 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-2385
(317) 660-4900
(317) 660-7112
Mailing address
8925 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-2385
(317) 660-4900
(317) 660-7112

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician
207NS0135X
Procedural Dermatology Physician
261QA1903X
Ambulatory Surgical Clinic/Center
50004010A
IN

Other

Enumeration date
03/13/2007
Last updated
07/24/2023
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