Individual
MR. MICHAEL T SAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
3300 PRAGUE RD, INDIANAPOLIS, IN 46227-7010
(317) 787-8277
Mailing address
7840 COREY CT, INDIANAPOLIS, IN 46227-5874
(317) 374-8840
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
36000279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000279A
2255A2300X-SPECIALIST/TECHNOLOGIST- ATHLETIC TRAINER
IN
Enumeration date
08/16/2012
Last updated
08/16/2012
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