Individual
DANIEL R CORSON-KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
(317) 962-5394
Mailing address
1701 N SENATE BLVD, AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
(317) 962-5394
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01075938A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017213A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201169590
—
IN
Enumeration date
06/07/2013
Last updated
07/15/2016
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