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NPI Code Detail

MEDICARE: DR. JOHN MC CAULEY PLEWES II M.D.

MEDICARE:  DR. JOHN MC CAULEY PLEWES II 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
12084F0202XForensic Psychiatry Physician01065790AIN

General Provider Information

NPI Number : 1336439975
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MC CAULEY PLEWES II M.D.
Provider Business Mailing Address
First Line : 1400 W RAYMOND ST
Second Line : CODE # 4113
City : INDIANAPOLIS
State : IN
Zip : 46221-2004
Country : US
Telephone Number : 317-276-4424
Fax Number : 317-276-7100
Provider Business Practice Location Address
First Line : 1400 W RAYMOND ST
Second Line : CODE # 4113
City : INDIANAPOLIS
State : IN
Zip : 46221-2004
Country : US
Telephone Number : 317-276-4424
Fax Number : 317-276-7100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2011
Last Update Date : 04/16/2011

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Directions to “ DR. JOHN MC CAULEY PLEWES II M.D.” Practice Location

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