Individual
WILLIAM M DUCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PKWY, SUITE 215, RICHMOND, IN 47374-1157
(765) 939-9331
(765) 939-9314
Mailing address
1100 REID PKWY, MEDICAL STAFFF SERVICES, RICHMOND, IN 47374-1157
(765) 939-9331
(765) 939-9314
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01035874
IN
2086S0129X
Vascular Surgery Physician
Primary
01035874
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000704985
ANTHEM
—
05
—
0629501
—
OH
05
—
100328290
—
IN
Enumeration date
06/14/2005
Last updated
01/12/2015
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