Provider First Line Business Practice Location Address:
703 PRO MED LANE
Provider Second Line Business Practice Location Address:
INDIANA HEALTH GROUP
Provider Business Practice Location Address City Name:
CARMEL
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-208-7233
Provider Business Practice Location Address Fax Number:
317-208-7283
Provider Enumeration Date:
10/25/2005