Individual
DANIEL F KLINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2560 N SHADELAND AVENUE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8124
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01063558A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01063558A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525387
ANTHEM
IN
01
—
11-00721
MEDICA
IN
05
—
200859910
—
IN
01
—
I73474
UPIN
—
01
—
P00406965
RR MEDICARE
IN
Enumeration date
05/03/2007
Last updated
05/01/2015
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