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DR. TED W GRISELL MD

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1417955105

Individual Registrant:
DR. TED W GRISELL MD
Gender: M

Location and contact information for practice:
10551 N 800 W  FAIRLAND, IN 46126-9519 US
Tel: 317-313-9320  Fax: 317-347-4573

Contact information for business:
10551 N 800 W  FAIRLAND, IN 46126-9519 US
Tel: 317-313-9320  Fax: 317-347-4573

Registration Information:
NPI: 1417955105
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208600000XAllopathic & Osteopathic Physicians
Surgery
IN01021489

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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