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1629304134
ICEM-WISHARD LLC
INDIANAPOLIS, IN
NPI
1629304134
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Entity Type
Organization
Authorized Contact
LISA BRAUN
Administrator
317-630-7276
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2009-10-19
Last Update Date
2009-10-19
Business Address
ICEM-WISHARD LLC
1001 W 10TH ST
INDIANAPOLIS, IN 46202-2859
Phone number: 317-630-7276
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Mailing Address
ICEM-WISHARD LLC
1050 WISHARD BLVD SUITE R2200
INDIANAPOLIS, IN 46202-2872
Phone number:
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