ETHAN CHERNIVEC

INDIANAPOLIS, IN
NPI1336897586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies208600000X Surgery
(Licence: IN  01095904A)
Enumeration Date2022-03-16
Last Update Date2025-05-27
Business Address
ETHAN CHERNIVEC MD
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202-5112
Phone number: 317-274-7436
Mailing Address
ETHAN CHERNIVEC MD
545 BARNHILL DR # EH125
INDIANAPOLIS, IN 46202-5112
Phone number: 317-274-7436