Individual
DR. GARY LYNN ADSIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1900 W KEM RD, MARION, IN 46952-1548
(765) 664-0107
(765) 664-6541
Mailing address
1900 W KEM RD, MARION, IN 46952-1548
(765) 664-0107
(765) 664-6541
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000307
IN
213EP1101X
Primary Podiatric Medicine Podiatrist
07000307
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083983
BLUE CROSS BLUE SHIELD
IN
01
—
351433975
TRICARE
IN
Enumeration date
06/01/2005
Last updated
06/18/2015
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