MARK W GERACI

INDIANAPOLIS, IN
NPI1528158201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  01075552A)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CO  30744)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IN  01075552A)
Enumeration Date2006-10-13
Last Update Date2015-08-26
Business Address
-- MARK W GERACI MD
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202-5149
Phone number: 317-994-5000
Mailing Address
-- MARK W GERACI MD
250 N SHADELAND AVE SUITE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: