Individual
DR. DANIELLE MARIE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9560 E 59TH ST, INDIANAPOLIS, IN 46216-1010
(317) 621-1700
(317) 621-1711
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004810A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201351160
—
IN
01
—
P01678749
RR MEDICARE
IN
Enumeration date
06/30/2011
Last updated
11/27/2023
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