Individual
DR. RICHARD L GRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 E HWY 68, HAUBSTADT, IN 47639
(812) 464-3016
(812) 753-4148
Mailing address
PO BOX 370, HAUBSTADT, IN 47639-0370
(812) 464-3016
(812) 753-4148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024530A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000245599
BCBS
IN
01
—
043679294004
UNICARE
—
01
—
04367929417
DONLEY & CO.
—
01
—
065639
HEALTH ALLIANCE
—
01
—
080192018
RAILROAD MEDICARE
—
01
—
616751
HEALTHLINK
—
Enumeration date
12/28/2005
Last updated
10/23/2009
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