STACEY CHARLES

INDIANAPOLIS, IN
NPI1255940417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01090538A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-07-23
Last Update Date2024-04-26
Business Address
STACEY CHARLES MD
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202-2872
Phone number: 317-962-8893
Mailing Address
STACEY CHARLES MD
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202-2872
Phone number: