Individual
CHERYL A CONETSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2326 18TH ST, STE 210, COLUMBUS, IN 47201
(812) 372-8426
(812) 372-8301
Mailing address
2326 18TH ST, STE 210, COLUMBUS, IN 47201
(812) 372-8426
(812) 372-8301
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
02002736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329870
ANTHEM
—
01
—
1790837789
GROUP NPI
IN
05
—
200482230
—
IN
01
—
40647
SIHO
—
01
—
P00249217
MEDICARE RAILROAD
—
Enumeration date
06/27/2006
Last updated
05/08/2012
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