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NPI Code Detail

MEDICARE: JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC

MEDICARE: JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629637020
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC
Provider Business Mailing Address
First Line : 6983 HILLSDALE CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2054
Country : US
Telephone Number : 317-308-2800
Fax Number : 317-576-6311
Provider Business Practice Location Address
First Line : 325 WESTFIELD RD STE D
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-1496
Country : US
Telephone Number : 765-298-4545
Fax Number : 765-298-4945
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : NIKKI SWINEY
Credential :
Telephone Number : 317-308-2828
Provider Enumeration Date : 06/10/2019
Last Update Date : 05/28/2026

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