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NPI Code Detail

MEDICARE: SUSAN ELIZABETH CLARE MD

MEDICARE:   SUSAN ELIZABETH CLARE  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
1208600000XSurgery Physician1058360AIN

General Provider Information

NPI Number : 1992763544
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ELIZABETH CLARE MD
Provider Business Mailing Address
First Line : 545 BARNHILL DRIVE
Second Line : EH 523
City : INDIANAPOLIS
State : IN
Zip : 46202-5125
Country : US
Telephone Number : 317-278-3907
Fax Number : 317-278-4897
Provider Business Practice Location Address
First Line : 545 BARNHILL DRIVE
Second Line : EH 523
City : INDIANAPOLIS
State : IN
Zip : 46202-5125
Country : US
Telephone Number : 317-278-3907
Fax Number : 317-278-4897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 10/06/2010

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Directions to “ SUSAN ELIZABETH CLARE MD” Practice Location

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