Individual
JASEN LEE GILGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3634
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01076912A
IN
207RC0000X
Cardiovascular Disease Physician
01076912A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01076912A
IN
Other
Enumeration date
03/25/2013
Last updated
04/01/2024
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