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Organization
GRAND OLE DOCS OF THE SOUTHSIDE
Active
Organization
GRAND OLE DOCS OF THE SOUTHSIDE
Active
Other names
Central Indiana Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD M DEWESTER MD (PHYSICIAN)
(317) 882-0535
Entity
Organization
Contact information
Practice address
8921 SOUTHPOINTE DR, B1, INDIANAPOLIS, IN 46227-0968
(317) 882-0535
(317) 882-1415
Mailing address
8921 SOUTHPOINTE DR, B1, INDIANAPOLIS, IN 46227-0968
(317) 882-0535
(317) 882-1415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01018751A
IN
Other
Enumeration date
10/05/2006
Last updated
06/30/2008
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