Individual
PATRICK A DEHEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000717
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200450170
—
IN
01
—
4333300005
DMERC CARMEL
—
01
—
5039910001
DEMERC COLUMBUS
IN
01
—
P00091670
RR MEDICARE
—
Enumeration date
05/31/2005
Last updated
06/17/2022
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