Judiann Miskulin, MD
Surgery in Indianapolis, IN. Individual provider (NPI-1).
NPI number1790742450
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1790742450
- Entity type
- Individual (NPI-1)
- Name
- Judiann Miskulin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2006
- Certification date
- Nov 1, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 01061067A | IN | Yes |
Practice location
757 Massachusetts Ave Unit 402Indianapolis, IN 46204-1692
Phone 317-000-0000
Mailing address
757 Massachusetts Ave Unit 402Indianapolis, IN 46204-1692
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