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NPI Code Detail

MEDICARE: DR. JOHN MICHAEL PASALICH M.D.

MEDICARE: DR. JOHN MICHAEL PASALICH M.D.
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
1207L00000XAnesthesiology Physician01059423AIN

General Provider Information

NPI Number : 1306986229
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MICHAEL PASALICH M.D.
Provider Business Mailing Address
First Line : 7746 JAMESTOWN SOUTH DR
Second Line :
City : FISHERS
State : IN
Zip : 46038-1989
Country : US
Telephone Number : 317-570-6720
Fax Number :
Provider Business Practice Location Address
First Line : 1120 SOUTH DRIVE FESLER HALL RM 204
Second Line : INDIANA UNIVERSITY SCHOOL OF MEDICINE
City : INDIANAPOLIS
State : IN
Zip : 46202-5115
Country : US
Telephone Number : 317-274-0275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/08/2007

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