Individual provider · Type 1 NPI

Joseph Ryan Lundberg, CSFA

Surgical Physician Assistant · Indianapolis, IN

NPI number 1043708472 Active

Practice location

8433 Harcourt Rd
Indianapolis, IN 46260-2190

Mailing address

7040 Westhaven Cir Apt 104
Zionsville, IN 46077-7758

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X167278
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1043708472

Joseph Ryan Lundberg, CSFA's National Provider Identifier is 1043708472, issued on May 1, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on May 1, 2018.