Ted W Grisell in Fairland - Surgery

Ted W Grisell - NPI 1417955105

Ted W Grisell is a Surgery in Fairland, Indiana. Ted W Grisell practices all healthcare services and medical treatments related to Surgery. The NPI Number for Ted W Grisell is 1417955105. The last update date is 2007-07-08.

Ted W Grisell's current location address is 10551 N 800 W, Fairland, Indiana. You can contact this provider via phone number 3173139320 and fax number 3173474573. The mailing address for Ted W Grisell is 10551 N 800 W, Fairland, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Ted W Grisell
Address 10551 N 800 W, Fairland, Indiana
Phone Number 3173139320
Fax Number 3173474573
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1417955105
Provider Enumeration Date 2005-07-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10551 N 800 W
City Fairland
State Indiana (IN)
Post Code 461269519
Phone Number 3173139320
Fax Number 3173474573

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 1021489
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Ted W Grisell

What is the unique 10-digit identifier code assigned to Ted W Grisell by the Centers for Medicare & Medicaid Services?

The Ted W Grisell has been issued the NPI (National Provider Identifier) 1417955105 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Ted W Grisell is located?

The Ted W Grisell is situated at the following address: 10551 N 800 W, Fairland, IN, 461269519.

What is Ted W Grisell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ted W Grisell is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

On what date was the 1417955105 assigned to Ted W Grisell?

The Ted W Grisell was issued its 1417955105 on 2005-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Ted W Grisell most recently updated?

The details pertaining to the Ted W Grisell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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