Individual
DR. DONNAMARIE DARCY-LOESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4050 CENTRAL AVENUE, COLUMBUS, IN 47203
(812) 376-9427
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 375-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036559
IN
207R00000X
Internal Medicine Physician
01036559A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991462
ANTHEM PIN
IN
05
—
100342700
—
IN
Enumeration date
06/08/2005
Last updated
10/29/2020
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