Individual
DR. GARY ELLIOT VIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8151 IVY KNOLL LN, APT B, INDIANAPOLIS, IN 46250-3736
(806) 438-5454
Mailing address
8151 IVY KNOLL LN, APT B, INDIANAPOLIS, IN 46250-3736
(806) 438-5454
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301087029
MI
Other
Enumeration date
02/06/2007
Last updated
07/09/2007
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