Individual
DAYNA RIDDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 SHELBY ST, INDIANAPOLIS, IN 46203-1151
(317) 957-2400
(317) 957-2420
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11015385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201099100
—
IN
Enumeration date
04/01/2010
Last updated
03/08/2016
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