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NPI Code Detail

MEDICARE: MEADOW HEIMAN MS

MEDICARE: MEADOW HEIMAN MS
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1407830532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEADOW HEIMAN MS
Provider Business Mailing Address
First Line : 8326 NAAB RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1920
Country : US
Telephone Number : 317-871-0000
Fax Number : 317-870-4550
Provider Business Practice Location Address
First Line : 8326 NAAB RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1920
Country : US
Telephone Number : 317-871-0000
Fax Number : 317-870-4550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 10/09/2019

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Directions to “ MEADOW HEIMAN MS” Practice Location

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