Cleanslate Medical Group of Indiana LLC
NPI #1023464294 in Alexandria, Indiana
Provider Information
- NPI Number
- 1023464294
- Entity Type
- Organization
- Organization Name
- Cleanslate Medical Group of Indiana LLC
- Primary Specialty
- Internal Medicine - Addiction Medicine
- Enumeration Date
- May 6, 2016
- Last Updated
- Dec 17, 2025
Practice Location
- Address
- 101 N HARRISON ST
- City
- Alexandria
- State
- Indiana
- ZIP Code
- 46001-2017
- Phone
- (765) 233-0903
Authorized Official
- Name
- MATTHEW PHILIP SMOLAREK
- Title
- CFO
- Phone
- (412) 999-5188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Addiction Medicine — Addiction Medicine |
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