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Individual

MR. MICHAEL L DIDONNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13100 E 136TH ST, SUITE 2000, FISHERS, IN 46037-9417
(317) 688-5980
(317) 678-3222
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K8620
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01070054A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
K8620
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161226901
TX
05
201040320
IN
Enumeration date
01/23/2006
Last updated
01/14/2021
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