Individual
DON J SELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, SUITE 1295, INDIANAPOLIS, IN 46202-5149
(317) 278-0271
(317) 944-7648
Mailing address
250 N SHADELAND AVE, SUITE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01048995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386163
ANTHEM PIN
IN
05
—
200195580
—
IN
Enumeration date
04/27/2006
Last updated
07/09/2014
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