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Organization
CHEESMAN HEALTHCARE, P.C.
Active
Organization
CHEESMAN HEALTHCARE, P.C.
Active
Other names
VidaMD Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN CHEESMAN M.D. (PRESIDENT)
(317) 272-7950
Entity
Organization
Contact information
Practice address
97 DOVER ST, SUITE 600, AVON, IN 46123-7380
(317) 272-7950
Mailing address
1401 W COUNTY ROAD 100 S, DANVILLE, IN 46122-8205
(317) 272-7950
(317) 272-7963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054637A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093766826
NPI NUMBER
IN
Enumeration date
09/26/2006
Last updated
08/22/2020
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