Individual
DONNA TISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1130 MEDICAL ARTS BLVD, SUITE 250, ANDERSON, IN 46011-3432
(765) 298-4282
(765) 298-4989
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01070059A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201027030
—
IN
01
—
P01292385
RAILROAD MEDICARE
IN
Enumeration date
05/27/2008
Last updated
11/27/2023
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