Provider Demographics
NPI:1922145978
Name:FEAN, ROBYN L (MD)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:L
Last Name:FEAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5492 N RONALD REAGAN PKWY STE 170
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-5618
Mailing Address - Country:US
Mailing Address - Phone:317-456-9063
Mailing Address - Fax:317-858-3050
Practice Address - Street 1:5492 N RONALD REAGAN PKWY STE 170
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-5618
Practice Address - Country:US
Practice Address - Phone:317-456-9063
Practice Address - Fax:317-858-3050
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11013346A207Q00000X
IN01064094A207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine