| NPI | 1770684052 |
|---|---|
| Doing Business As | VIDAMD HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN CHEESMAN President 317-272-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01054637A) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |