DANIEL FAGAN

INDIANAPOLIS, IN
NPI1831156330
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01041566A)
Enumeration Date2006-04-27
Last Update Date2015-02-09
Business Address
-- DANIEL FAGAN MD
1520 N SENATE AVE
INDIANAPOLIS, IN 46202-2213
Phone number: 317-962-8893
Mailing Address
-- DANIEL FAGAN MD
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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