Search › Indiana › 2085R0202X
Jeffrey Dedelow, M.D
NPI 1376758524 · on the registry since 2007
Practice
- Address
- 514 W 2nd St
Bloomington, IN 47403 - Phone
- (812) 353-3719
- Organisation at this address
- Everside Health Bloomington In
Cancer Care Center Of Southern Indiana, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 429 S Landmark Ave, Bloomington, IN
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 207RH0002X
2085N0904X
2085R0202X
2085R0202X
2085R0202X - Licence states on file
- IN, MI, LA, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana