Individual
CHARLES REEDER WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18077 RIVER AVE, STE 103, NOBLESVILLE, IN 46062-8311
(317) 773-5153
(317) 773-6452
Mailing address
18077 RIVER AVE, STE 103, NOBLESVILLE, IN 46062-8311
(317) 773-5153
(317) 773-6452
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01035260A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317820A
—
IN
Enumeration date
05/31/2005
Last updated
03/19/2014
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