Doctor Name: | ANDREA METZLER |
NPI Number: | 1083013056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 10001711A |
Business Practice Address: | 275 W Bassett Rd Shelbyville, IN - 461768574 |
Business Phone Number: | 3173922161 |
Business Fax Number: | |
Mailing Address: | 57 E 57th St, INDIANAPOLIS |
State: | IN |
Postal Code: | 462202515 |
Phone Number: | 7734541600 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2014 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 10001711A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |