Individual
DR. MICHAEL CHARLES MONDHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 266, AVON, IN 46123-6911
(317) 217-2500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02006345A
IN
207V00000X
Obstetrics & Gynecology Physician
OT017952
PA
Other
Enumeration date
05/14/2017
Last updated
02/21/2022
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