Individual
CHAD W GRETENCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST, CFA
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
83261
IN
Other
Enumeration date
02/22/2008
Last updated
10/08/2019
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