Indiana Physician Management-Randolph, LLC

NPI #1104102037 in Winchester, Indiana

Provider Information

NPI Number
1104102037
Entity Type
Organization
Organization Name
Indiana Physician Management-Randolph, LLC
Primary Specialty
Emergency Medicine
Enumeration Date
Oct 24, 2011
Last Updated
Jan 11, 2013

Practice Location

Address
473 E GREENVILLE AVE
State
Indiana
ZIP Code
47394-9436
Phone
(317) 870-0480

Authorized Official

Name
STEWART BICK, M.D.
Title
PRESIDENT
Phone
(317) 338-5053

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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