Individual
DR. TED HOWARD GABRIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEMORIAL SQ, SUITE 100, GREENFIELD, IN 46140-2835
(317) 462-3255
(317) 477-6334
Mailing address
0NE MEMORIAL SQUARE, SUITE - 100, GREENFIELD, IN 46140-2819
(317) 462-3255
(317) 477-6334
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01019182
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100127360A
—
IN
Enumeration date
04/23/2007
Last updated
02/28/2011
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