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1376810820
WENDY M FODSTAD
INDIANAPOLIS, IN
NPI
1376810820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001301A)
Enumeration Date
2011-11-29
Last Update Date
2022-06-21
Business Address
WENDY M FODSTAD PA
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260-2053
Phone number: 317-415-6740
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Mailing Address
WENDY M FODSTAD PA
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260-2053
Phone number:
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