Organization
TODD E. MIDLA, D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN RIDENOUR (ASST MANAGER)
(317) 920-7432
Entity
Organization
Contact information
Practice address
3660 GUION RD, SUITE 230, INDIANAPOLIS, IN 46222-1697
(317) 920-7432
(317) 920-7446
Mailing address
3660 GUION RD, SUITE 230, INDIANAPOLIS, IN 46222-1697
(317) 920-7432
(317) 920-7446
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
02001032A
IN
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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