EDWIN BOEDIONO LIEM

NEW ALBANY, IN
NPI1952354623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01066649A)
Additional Taxonomies207L00000X Anesthesiology
(Licence: KY  36354)
Enumeration Date2006-05-17
Last Update Date2023-01-12
Business Address
Dr. EDWIN BOEDIONO LIEM MD
1850 STATE ST
NEW ALBANY, IN 47150-4990
Phone number: 502-625-5584
Mailing Address
Dr. EDWIN BOEDIONO LIEM MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: