Personalized Healthcare of Carmel, LLC

NPI #1477889285 in Carmel, Indiana

Provider Information

NPI Number: 1477889285
Entity Type: Organization
Organization Name: Personalized Healthcare of Carmel, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 29, 2009
Last Updated: Oct 29, 2009

Practice Location

Address: 11900 N PENNSYLVANIA ST
Address 2: SUITE 200
City: Carmel
State: Indiana
ZIP Code: 46032-4693
Phone: (317) 663-7123

Authorized Official

Name: DR. CLIFFORD W FETTERS, MD
Title: PRESIDENT
Phone: (317) 663-7128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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