Individual
DR. TED W GRISELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10551 N 800 W, FAIRLAND, IN 46126-9519
(317) 313-9320
(317) 347-4573
Mailing address
10551 N 800 W, FAIRLAND, IN 46126-9519
(317) 313-9320
(317) 347-4573
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01021489
IN
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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