Individual
MR. DANIEL J BEDECKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1024 S 6TH ST, STE 204, TERRE HAUTE, IN 47807
(812) 234-7128
(812) 231-0104
Mailing address
1024 S 6TH ST, STE 204, TERRE HAUTE, IN 47807
(812) 234-7128
(812) 231-0104
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01032307B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085360
BCBS PIN
—
Enumeration date
05/10/2006
Last updated
07/08/2007
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