Individual
ASHLEY R GUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-0386
(317) 962-0289
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01085475A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018325A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201297210
—
IN
01
—
273010010
MEDICARE
IN
01
—
815500457
MEDICARE
IN
Enumeration date
06/12/2015
Last updated
08/07/2023
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