Individual
TERRENCE MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5629 LEE RD, INDIANAPOLIS, IN 46216-2003
(317) 419-6800
Mailing address
5629 LEE RD, INDIANAPOLIS, IN 46216-2003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01080101A
IN
207Q00000X
Family Medicine Physician
Q9674
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
09/07/2022
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