Individual
CLINTON DAVID BAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11725 ILLINOIS ST STE 558, CARMEL, IN 46032-3009
(317) 278-1981
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01072750A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000823275
ANTHEM BCBS PIN
IN
05
—
201109610
—
IN
Enumeration date
06/01/2008
Last updated
02/26/2025
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