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1083650741
DAVID G BREITWIESER
INDIANAPOLIS, IN
NPI
1083650741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01028551A)
Enumeration Date
2006-06-21
Last Update Date
2014-02-21
Business Address
-- DAVID G BREITWIESER MD
9650 E WASHINGTON ST STE 100
INDIANAPOLIS, IN 46229-3032
Phone number: 317-890-5500
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Mailing Address
-- DAVID G BREITWIESER MD
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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