Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 01066564A | IN |
NPI | 1104020585 |
---|---|
Provider Name | Dr. Heather Maria Greist |
First Address | Indianapolis, IN 46237-6340 |
Second Address | Indianapolis, IN 46237-6340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 21/03/2013 |