Individual
DR. JEFFREY GIDEON SUICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD, LILLY CLINIC - IU HOSPITAL AOC, INDIANAPOLIS, IN 46202-5149
(317) 276-4758
Mailing address
4324 SEDGE CT, ZIONSVILLE, IN 46077-8520
(317) 769-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042153
IN
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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