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GABRIELLE CHRISTINE GEDDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-4163
(317) 944-3966
(317) 968-1354
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
01082651A
IN
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
01082651A
IN
207SG0203X
Clinical Molecular Genetics Physician
60828
WI
208000000X
Pediatrics Physician
01082651A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001303683
ANTHEM PTAN
IN
05
300029538
IN
Enumeration date
10/22/2010
Last updated
02/21/2025
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