Individual
JEAN E MCGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 567-2180
(317) 567-2191
Mailing address
PO BOX 7232, DEPT 165, INDIANAPOLIS, IN 46207-7232
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01040931
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216350
—
IN
Enumeration date
11/17/2005
Last updated
12/04/2009
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