Organization
DANNY C SARDON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY CRUZ SARDON MD (PRES)
(219) 872-7555
Entity
Organization
Contact information
Practice address
1501 WABASH ST, #201, MICHIGAN CITY, IN 46360-4357
(219) 872-7555
(219) 872-8671
Mailing address
1501 WABASH ST, #201, MICHIGAN CITY, IN 46360-4357
(219) 872-7555
(219) 872-8671
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200886590A
—
IN
01
—
91108125
BLUE CROSS/BLUE SHIELD IL
IL
Enumeration date
10/03/2006
Last updated
06/23/2008
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