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Individual

DAVID M SOMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-4501
Mailing address
PO BOX 40414, INDIANAPOLIS, IN 46240-0414
(323) 351-4439

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01051038
IN
207L00000X
Anesthesiology Physician
35134905
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000747252
BLUE CROSS - ANTHEM
IN
05
200366460
IN
01
P01043126
RAIL ROAD MEDICARE
IN
Enumeration date
06/07/2006
Last updated
11/03/2023
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