Individual
DR. CARL F. CONWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2229 MARY SHERMAN DR, SULLIVAN, IN 47882-7633
(812) 268-3318
(812) 268-4017
Mailing address
PO BOX 230, SULLIVAN, IN 47882-0230
(812) 268-3318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036108
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100447910
—
IN
01
—
153868
RURAL HEALTH CLINIC
IN
05
—
200015680A
—
IN
Enumeration date
05/23/2005
Last updated
04/27/2021
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