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General NPI Number Information
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NPI Number | 1871597542
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Entity Type | Individual
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Provider Name | CYNDI A SPEELMAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 8244 E US HIGHWAY 36 STE 1310
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City | AVON
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State | IN
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Zip | 46123-9627
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Country | US
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Telephone | 317-838-3955
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Fax | 317-718-2955
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Provider Business Mailing Address
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Address Line | 1100 SOUTHFIELD DR SUITE 1370
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City | PLAINFIELD
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State | IN
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Zip | 46168-4498
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Country | US
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Telephone | 317-837-5571
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Fax | 317-837-5580
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01048967
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License Number State | IN
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