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Individual

DR. MICHAEL DAVID SEVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2560 N. SHADELAND AVE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8018
Mailing address
2560 N. SHADELAND AVE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8018

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01063465A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000525391
ANTHEM
IN
01
11-00723
MEDICA
IN
01
I73434
UPIN
IN
01
P00401622
RR MEDICARE
IN
Enumeration date
12/21/2006
Last updated
02/07/2008
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