Dr Ted W Grisell, MD - Surgery in Fairland, IN

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Dr Ted W Grisell, MD is a Surgery physician based in Fairland, Indiana. Dr Ted W Grisell is licensed to practice in Indiana (license number 01021489) and his current practice location is 10551 N 800 W, Fairland, Indiana. He can be reached at his office (for appointments etc.) via phone at (317) 313-9320.

NPI number for Dr Ted W Grisell is 1417955105 and his current mailing address is 10551 N 800 W, Fairland, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417955105.

Contact Information

Dr Ted W Grisell, MD
10551 N 800 W,
Fairland, IN 46126-9519
(317) 313-9320
(317) 347-4573

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Physician's Profile

Full NameDr Ted W Grisell
GenderMale
SpecialitySurgery
Location10551 N 800 W, Fairland, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417955105
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Ted W Grisell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417955105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 01021489 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ted W Grisell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ted W Grisell, MD
10551 N 800 W,
Fairland, IN 46126-9519

Ph: (317) 313-9320		Dr Ted W Grisell, MD
10551 N 800 W,
Fairland, IN 46126-9519

Ph: (317) 313-9320

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Surgery Doctors in Fairland, IN


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