Provider Demographics
NPI:1023263670
Name:PLEW, DENNIS BRIAN (CO)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:BRIAN
Last Name:PLEW
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1481 W 10TH ST
Mailing Address - Street 2:PROSTHETICS 121
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2803
Mailing Address - Country:US
Mailing Address - Phone:317-988-4198
Mailing Address - Fax:317-988-4835
Practice Address - Street 1:1481 W 10TH ST
Practice Address - Street 2:PROSTHETICS 121
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2803
Practice Address - Country:US
Practice Address - Phone:317-988-4198
Practice Address - Fax:317-988-4835
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist