Provider Demographics
NPI:1770163743
Name:PROGAR, VICTOR (MD)
Entity type:Individual
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First Name:VICTOR
Middle Name:
Last Name:PROGAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1633 N CAPITOL AVE STE 640
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1281
Mailing Address - Country:US
Mailing Address - Phone:317-962-8881
Mailing Address - Fax:317-962-0838
Practice Address - Street 1:1215 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1811
Practice Address - Country:US
Practice Address - Phone:517-364-3350
Practice Address - Fax:517-364-3943
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2025-07-28
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Provider Licenses
StateLicense IDTaxonomies
MI4301514487207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology