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Dr. Jerry Alvin Dearth, MD
Family Medicine Physician in Grabill, Indiana
NPI 1588779375

Jerry Alvin Dearth is a Family Medicine Physician based in Fort Wayne, IN. Jerry Alvin Dearth practices in Grabill, IN and has the professional credentials of MD. The NPI Number for Jerry Alvin Dearth is 1588779375 and holds a License No. 01029438A (Indiana).

The current practice location address for Jerry Alvin Dearth is 13410 Main St, Grabill, IN and can be reached out via phone at 260-422-2481 and via fax at 260-969-3067.

Location: 13410 Main St, Grabill, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588779375
Provider Name
Jerry Alvin Dearth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13410 Main St, Grabill, IN, 46845-1701
Phone Number
260-422-2481
Fax Number
260-969-3067
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100055390 05 IN
000000595570 01 IN ANTHEM
P00698419 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
13410 Main St
City
Grabill
State
Indiana
Zip
46741-2001
Phone Number
260-422-2481
Fax Number
260-969-3067
person
Provider Business Mailing Address Details
Address
13410 Main St
City
Grabill
State
Indiana
Zip
46741-2001
Phone Number
260-422-2481
Fax Number
260-969-3067
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01029438A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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