Individual
GRACE ELIZABETH EIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-4034
Mailing address
4411 WILD PHEASANT LN, INDIANAPOLIS, IN 46239-9633
(574) 354-1581
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02008417A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/14/2020
Last updated
06/26/2025
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