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Individual

MICHAEL CLETUS DALSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 N SENATE BLVD, METHODIST PROFESSIONAL CENTER #2, 3500, INDIANAPOLIS, IN 46202-1228
(317) 962-0280
(317) 962-0289
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
1030137A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100129470A
IN
Enumeration date
04/21/2006
Last updated
01/13/2021
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