Individual
MOHAMED MERZOUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5995 PEBBLESTREAM DR, CARMEL, IN 46033-8266
(317) 550-9299
Mailing address
5995 PEBBLESTREAM DR, CARMEL, IN 46033-8266
(317) 550-9299
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
5270209507
IN
Other
Enumeration date
10/21/2024
Last updated
05/05/2025
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