Most Relevant Information
Provider Data
| NPI Number: | 1003178898 |
| Provider Name: | KYLE NORRIS SEUDEAL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 01078562A |
Most Important Dates
| Enumeration Date: | 06/08/2012 |
| Last Updated: | 09/20/2023 |
Provider Practice Location
5255 E STOP 11 RD STE 450
INDIANAPOLIS
IN
462376342
Practice Location Phone/Fax
| Phone: | 3178654800 |
| Fax: | 3178654806 |
Provider Mailing Location
PO BOX 781076
DETROIT
MI
482781076
Provider Mailing Phone/Fax
| Phone: | 3175284800 |
| Fax: | 3178651479 |
Suggested EMR
Surgeon EMR