Provider Demographics
NPI:1205017241
Name:REHFUSS, DENISE N (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:N
Last Name:REHFUSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12381 WHEATHILL PASS
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-4428
Mailing Address - Country:US
Mailing Address - Phone:419-819-6512
Mailing Address - Fax:
Practice Address - Street 1:12381 WHEATHILL PASS
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-4428
Practice Address - Country:US
Practice Address - Phone:419-819-6512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01070479A207V00000X
OH35.099264207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH495040Medicare PIN