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Individual

DR. TROY ADAM DINKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 656-7899
(314) 373-5757
Mailing address
5373 GARDENIA CT, WEST LAFAYETTE, IN 47906-9070
(630) 247-0455

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01051806A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000090527
ANTHEM
IN
01
000000365246
ANTHEM
IN
05
200262920
IN
Enumeration date
11/15/2005
Last updated
02/22/2013
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