Individual
DR. DANIEL W SONNENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7979 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
(317) 621-4301
Mailing address
1830 N TALBOTT ST, INDIANAPOLIS, IN 46202-1515
(574) 276-9147
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
01076252A
IN
207RH0003X
Hematology & Oncology Physician
01076252A
IN
207RX0202X
Medical Oncology Physician
Primary
01076252A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017374A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300024377
—
IN
Enumeration date
06/19/2013
Last updated
09/06/2023
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