Individual
DR. MICHAEL G WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7120 S US HIGHWAY 231, HUNTINGBURG, IN 47542-9319
(812) 683-2431
(812) 683-4603
Mailing address
PO BOX 143, HUNTINGBURG, IN 47542-0143
(812) 683-2431
(812) 683-4603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007305A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108820A
—
IN
01
—
200130
CHILDREN'S SPECIAL HEALTH
IN
01
—
612224
UNITED CONCORDIA
IN
Enumeration date
08/25/2006
Last updated
12/02/2008
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