Individual
DR. MARTIN LOUIS MILGROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
550 UNIVERSITY BLVD, UH 4601, INDIANAPOLIS, IN 46202-5149
(317) 274-4370
(317) 278-3268
Mailing address
550 UNIVERSITY BLVD, UH 4601, INDIANAPOLIS, IN 46202-5149
(317) 274-4370
(317) 278-3268
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
01037956A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042347
ANTHEM
IN
01
—
0004111316
AETNA
IN
01
—
1437476
CIGNA
IN
Enumeration date
07/06/2006
Last updated
07/08/2007
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