Individual
ERIN R DAMMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01082255A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001566148
ANTHEM PTAN
IN
01
—
000001639773
ANTHEM PTAN
IN
05
—
201300620
—
IN
Enumeration date
04/28/2015
Last updated
12/02/2024
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