Individual
JUSTIN WAYNE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13450 N MERIDIAN ST STE 145, CARMEL, IN 46032-1484
(317) 338-8788
Mailing address
13450 N MERIDIAN ST STE 145, CARMEL, IN 46032-1484
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101021522
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
02006776A
IN
Other
Enumeration date
04/22/2015
Last updated
09/08/2022
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