Individual
DR. ERIC L. DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 HOSPITAL LANE, SUITE 303, DANVILLE, IN 46122-1998
(317) 718-4000
(317) 718-4005
Mailing address
1100 SOUTHFIELD DR, STE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01028571A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100258100
—
IN
01
—
P00845895
RAILROAD MEDICARE
IN
Enumeration date
08/10/2005
Last updated
03/04/2021
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