Organization
GRAND OLE DOCS OF THE SOUTHSIDE
Active
Other names
Central Indiana Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD M DEWESTER MD (PHYSICIAN)
(317) 882-0535
Entity
Organization
Contact information
Practice address
8921 SOUTHPOINTE DR, B1, INDIANAPOLIS, IN 46227-0968
(317) 882-0535
(317) 882-1415
Mailing address
8921 SOUTHPOINTE DR, B1, INDIANAPOLIS, IN 46227-0968
(317) 882-0535
(317) 882-1415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01018751A
IN
Other
Enumeration date
10/05/2006
Last updated
06/30/2008
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