Dawes Fretzin Dermatology Group, LLC
Dermatology in Indianapolis, IN. Organization (NPI-2).
NPI number1932188331
StatusActive
Last updated in NPPESApr 12, 2019
Details
- NPI
- 1932188331
- Entity type
- Organization (NPI-2)
- Legal business name
- Dawes Fretzin Dermatology Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2006
- Last updated
- Apr 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | – | – |
Practice location
7910 N Shadeland AveIndianapolis, IN 46250-2041
Phone 317-516-5000 · Fax 317-516-5146
Mailing address
7910 N Shadeland AveIndianapolis, IN 46250-2041
Phone 317-516-5000 · Fax 317-516-5146
Authorized official
Scott Alfred Fretzin
Member
3175165000
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