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NPI Code Detail

MEDICARE: CAMPUS CENTER STUDENT HEALTH

MEDICARE: CAMPUS CENTER STUDENT HEALTH
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
1261QS1000XStudent Health Clinic/Center

General Provider Information

NPI Number : 1285906180
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMPUS CENTER STUDENT HEALTH
Provider Business Mailing Address
First Line : 420 UNIVERSITY BLVD
Second Line : SUITE 213
City : INDIANAPOLIS
State : IN
Zip : 46202-5147
Country : US
Telephone Number : 317-274-2274
Fax Number : 317-278-7657
Provider Business Practice Location Address
First Line : 420 UNIVERSITY BLVD
Second Line : SUITE 213
City : INDIANAPOLIS
State : IN
Zip : 46202-5147
Country : US
Telephone Number : 317-274-2274
Fax Number : 317-278-7657
Authorized Official
Title or Position : DIRECTOR
Name : DR. STEPHEN F WINTERMEYER
Credential : MD
Telephone Number : 317-278-2603
Provider Enumeration Date : 02/08/2012
Last Update Date : 02/08/2012

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Directions to “CAMPUS CENTER STUDENT HEALTH ” Practice Location

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