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NPI Code Detail

MEDICARE: ALEX IAN FRASER MD

MEDICARE:   ALEX IAN FRASER  MD
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 Physician17685IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105187OTHERIAWELLMARK BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417940602
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX IAN FRASER MD
Provider Business Mailing Address
First Line : 3969 CHADWICK DR
Second Line :
City : CARMEL
State : IN
Zip : 46033-4810
Country : US
Telephone Number : 317-816-6924
Fax Number : 195-265-8195
Provider Business Practice Location Address
First Line : 3969 CHADWICK DR
Second Line :
City : CARMEL
State : IN
Zip : 46033-4810
Country : US
Telephone Number : 317-816-6924
Fax Number : 195-265-8195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 08/08/2012

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Directions to “ ALEX IAN FRASER MD” Practice Location

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