Provider Demographics
NPI:1548295074
Name:STURM, BARBARA R (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:R
Last Name:STURM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5255 E STOP 11 RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-6340
Mailing Address - Country:US
Mailing Address - Phone:317-535-5001
Mailing Address - Fax:317-535-5009
Practice Address - Street 1:5255 E STOP 11 RD
Practice Address - Street 2:SUITE 310
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-6340
Practice Address - Country:US
Practice Address - Phone:317-535-5001
Practice Address - Fax:317-535-5009
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01036046A207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE72877Medicare UPIN
IN596400AMedicare PIN