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General NPI Number Information
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NPI Number | 1043280944
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Entity Type | Individual
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Provider Name | CARL L METCALF MD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 1201 S MAIN ST EMERGENCY DEPARTMENT
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City | CROWN POINT
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State | IN
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Zip | 46307-8481
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Country | US
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Telephone | 219-757-6310
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Fax | 219-757-6312
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Provider Business Mailing Address
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Address Line | 1040 SIERRA DR SUITE 400
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City | GREENWOOD
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State | IN
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Zip | 46143-7241
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Country | US
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Telephone | 317-528-4284
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Fax | 317-865-8355
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01053843A
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License Number State | IN
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