Individual
DR. ZSOLT SHEPHERD TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2705 N LEBANON ST, SUITE 300, LEBANON, IN 46052-8612
(765) 485-8649
(765) 485-8650
Mailing address
2705 N LEBANON ST, SUITE 300, LEBANON, IN 46052-8612
(765) 485-8649
(765) 485-8650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044179
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127050A
—
IN
Enumeration date
09/29/2005
Last updated
12/09/2010
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