DR. Jerry Alvin Dearth, M.D.

NPI #1588779375 in Grabill, Indiana

Provider Information

NPI Number: 1588779375
Entity Type: Individual
Name: DR. Jerry Alvin Dearth, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 20, 2006
Last Updated: Oct 11, 2022

Practice Location

Address: 13410 MAIN ST
Address 2: BOX 340
City: Grabill
State: Indiana
ZIP Code: 46741-2001
Phone: (260) 422-2481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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