Organization
CHEESMAN HEALTHCARE, P.C.
Active
Other names
VidaMD Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN CHEESMAN M.D. (PRESIDENT)
(317) 272-7950
Entity
Organization
Contact information
Practice address
97 DOVER ST, SUITE 600, AVON, IN 46123-7380
(317) 272-7950
Mailing address
1401 W COUNTY ROAD 100 S, DANVILLE, IN 46122-8205
(317) 272-7950
(317) 272-7963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054637A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093766826
NPI NUMBER
IN
Enumeration date
09/26/2006
Last updated
08/22/2020
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