Organization
JACK FELICIANO MD, INC
Active
Organization
JACK FELICIANO MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELPIDIO M FELICIANO MD (OWNER/PHYSICIAN)
(317) 385-4445
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-5253
(765) 282-8796
Mailing address
16531 STONEWOLF BLVD, NOBLESVILLE, IN 46060-1290
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01056999
IN
Other
Enumeration date
06/24/2014
Last updated
08/26/2014
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