Individual
DAVID W. LAITINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 S PINE ST, SUITE 300, SEYMOUR, IN 47274-2365
(812) 524-3311
(812) 524-3312
Mailing address
225 S PINE ST, SUITE 300, SEYMOUR, IN 47274-2365
(812) 524-3311
(812) 524-3312
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01032417
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093074
ANTHEM BCBS
IN
01
—
0246440001
DME
IN
05
—
100140540A
—
IN
Enumeration date
08/04/2005
Last updated
03/16/2010
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