CLEANSLATE MEDICAL GROUP OF INDIANA LLC

EVANSVILLE, IN
NPI1023464294
Entity TypeOrganization
Authorized ContactMATTHEW PHILIP SMOLAREK
CFO
412-999-5188
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Additional Taxonomies207R00000X Internal Medicine
Enumeration Date2016-05-06
Last Update Date2024-07-03
Business Address
CLEANSLATE MEDICAL GROUP OF INDIANA LLC
4411 WASHINGTON AVE STE 105
EVANSVILLE, IN 47714-0805
Phone number: 812-213-0304
Mailing Address
CLEANSLATE MEDICAL GROUP OF INDIANA LLC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 615-425-0220