Organization · Type 2 NPI
Cleanslate Medical Group of Indiana LLC
Addiction Medicine (Internal Medicine) Physician · Alexandria, IN
Practice location
101 N Harrison St
Alexandria, IN 46001-2017
Fax (833) 279-7074
Mailing address
155 Franklin Rd Ste 430
Brentwood, TN 37027-1602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
2 other providers at this address
About NPI 1023464294
Cleanslate Medical Group of Indiana LLC's National Provider Identifier is 1023464294, issued on May 6, 2016. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Alexandria, IN. The record was last updated on Aug 26, 2026.