Individual
ANNETTE M DINNEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8433 HARCOURT ROAD, SUITE 310, INDIANAPOLIS, IN 46260
(317) 338-9393
(317) 338-9399
Mailing address
8433 HARCOURT ROAD, SUITE 310, INDIANAPOLIS, IN 46260
(317) 338-9393
(317) 338-9399
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01042219
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084544
BLUE CROSS BLUE SHIELD OF
IL
01
—
000000084544
UNICARE
—
01
—
024440
SIHO SOUTHEASTERN IN HEAL
—
01
—
193523
ONE HEALTH PLAN
—
01
—
258635
HEALTHLINK
—
01
—
351494388
TRICARE NORTH REGION
—
01
—
430810
AETNA
—
01
—
P00283868
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
02/07/2014
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