Individual
DANNY C SARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1507 WABASH ST, SUITE 400B, MICHIGAN CITY, IN 46360-4300
(219) 872-7555
(855) 774-1402
Mailing address
1507 WABASH ST, SUITE 500 B, MICHIGAN CITY, IN 46360-4300
(219) 872-7555
(855) 774-1402
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01032287C
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079474
BCBS PIN NUMBER
IN
05
—
100163860A
—
IN
01
—
91115450
BCBS IL PIN
IL
Enumeration date
04/28/2006
Last updated
01/18/2017
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