Individual
MATTHEW P. CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002517A
IN
Other
Enumeration date
08/07/2018
Last updated
06/16/2022
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