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NPI Code Detail

MEDICARE: MITCHELL ONSLOW M.D.

MEDICARE: MITCHELL ONSLOW 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
1390200000XStudent in an Organized Health Care Education/Training Program11017845AIN
2207VM0101XMaternal & Fetal Medicine Physician35.142764OH

General Provider Information

NPI Number : 1568876068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL ONSLOW M.D.
Provider Business Mailing Address
First Line : 550 UNIVERSITY BLVD STE 2240
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 UNIVERSITY BLVD STE 2240
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number : 317-948-5923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2014
Last Update Date : 06/30/2021

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Directions to “ MITCHELL ONSLOW M.D.” Practice Location

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