Individual
DWIGHT D GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 473-4210
Mailing address
7817 BEANBLOSSOM CIR, INDIANAPOLIS, IN 46256-4676
(317) 552-8645
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
28125968A
IN
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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