Individual
DR. MICHAEL SHANNON TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3125 S SCATTERFIELD RD STE 210, ANDERSON, IN 46013
(765) 298-4311
(765) 298-4312
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
02002715A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
02002715A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014911
—
IN
Enumeration date
01/11/2007
Last updated
06/13/2023
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