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NPI Code Detail

MEDICARE: DR. DAVID P PLETZER MD

MEDICARE: DR. DAVID P PLETZER 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
1207Q00000XFamily Medicine Physician01034308AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467426239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID P PLETZER MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE STE 130
Second Line : IU HEALTH PHYSICIANS
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11530 ALLISONVILLE ROAD
Second Line : STE 190
City : FISHERS
State : IN
Zip : 46038-1862
Country : US
Telephone Number : 317-678-3850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 01/22/2021

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Directions to “ DR. DAVID P PLETZER MD” Practice Location

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