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Individual

CARINA ANJA DEHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 491-6000
(317) 491-6534
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
01089715A
IN
207ZP0101X
Anatomic Pathology Physician
Primary
01089715A
IN
207ZP0101X
Anatomic Pathology Physician
2018016201
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
70734
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068010892
MEDICARE PTAN
IN
Enumeration date
07/17/2018
Last updated
12/11/2023
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