Individual
DANIEL GUILLAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7150 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256
(317) 621-6262
Mailing address
8101 LANTERN RD, INDIANAPOLIS, IN 46256-1846
(765) 730-7898
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01077849A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001338856
ANTHEM PTAN
IN
05
—
300005334
—
IN
Enumeration date
03/28/2014
Last updated
12/04/2024
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