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JOSEPH ANDREW GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
000
NY
208800000X
Urology Physician
Primary
01089336A
IN
208800000X
Urology Physician
MD176572
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300071209
IN
01
M22404292
MEDICARE
IN
Enumeration date
04/10/2010
Last updated
03/02/2023
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