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Individual

DR. ADAM ANTHONY CIECIUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2705 N LEBANON ST STE 265, LEBANON, IN 46052-8621
(765) 485-8830
(765) 485-8839
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01076118A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201333580
IN
Enumeration date
07/20/2009
Last updated
04/15/2021
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