Individual
DAN MICHAEL HECIMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01069554A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000750945
ANTHEM
IN
05
—
0067329
—
OH
05
—
201032000
—
IN
Enumeration date
06/11/2008
Last updated
05/23/2025
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