Individual
DR. DANIEL C LOPICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 W BETHEL AVE STE C, MUNCIE, IN 47304-8513
(765) 286-3900
(765) 286-3915
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01047272
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083914
ANTHEM
IN
01
—
160049154
MEDICARE RAILROAD
IN
05
—
200128970A
—
IN
01
—
351425221102
CARESOURCE
IN
Enumeration date
12/29/2005
Last updated
01/25/2021
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