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Individual

WILLIAM VANOSDOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2202 W MORRIS ST, INDIANAPOLIS, IN 46221-1404
(317) 488-2020
(317) 488-2031
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 788-9769
(317) 781-4868

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01021589A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100460790
IN
Enumeration date
10/06/2005
Last updated
09/08/2011
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