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Individual

BRUCE L GRIEBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8075 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2693
(317) 621-8000
Mailing address
PO BOX 6005 DEPT 196, INDIANAPOLIS, IN 46206-6005
(866) 282-7905
(800) 731-0751

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01033765A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100068610
IN
Enumeration date
04/10/2006
Last updated
01/07/2025
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