Individual
DAN LIVIU DUSLEAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3209 W REDDY WAY, BLOOMINGTON, IN 47403-4088
(812) 276-1391
Mailing address
3209 W REDDY WAY, BLOOMINGTON, IN 47403-4088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01048041A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000307496
ANTHEM PROVIDER #
IN
05
—
200196420A
—
IN
Enumeration date
09/08/2005
Last updated
03/07/2025
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