Individual
MICHAEL GIFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8150 OAKLANDON RD STE 130, INDIANAPOLIS, IN 46236-9554
(317) 621-1111
(317) 621-1110
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(315) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005461A
IN
207Q00000X
Family Medicine Physician
11019293A
IN
Other
Enumeration date
06/28/2017
Last updated
11/10/2020
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