Individual
DR. DANIEL ROBERT GERMEROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1130 W MICHIGAN ST, FH202, INDIANAPOLIS, IN 46202-5209
(317) 274-0076
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11018774A
IN
207L00000X
Anesthesiology Physician
5101021617
MI
207LP3000X
Pediatric Anesthesiology Physician
Primary
02006054A
IN
Other
Enumeration date
03/24/2015
Last updated
12/17/2021
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