| Organization Name: | MERIDIAN HEALTH & WELLNESS |
| NPI Number: | 1457608705 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT CHARLES PRAHTER (PRESIDENT) |
| Mailing Address: | 8902 N Meridian St 101 Indianapolis |
| State: | IN US |
| Postal Code: | 462605382 |
| Phone Number: | 3178488048 |
| Fax Number: | 3175758807 |
| NPI Enumeration Date: | 08/06/2012 |
| NPI Last Update Date: | 08/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |