Individual
DR. MARC W GERDISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-3256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01048049A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036079121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202172
URBANA/ROCKFORD/MOLINE
—
01
—
344390
DUPAGE GROUP
—
05
—
36079121
—
IL
01
—
S26620
COOK GROUP
—
Enumeration date
04/21/2006
Last updated
04/02/2026
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