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NPI Code Detail

MEDICARE: TODD E MIDLA DO

MEDICARE: TODD E MIDLA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist02001032AIN

General Provider Information

NPI Number : 1881641520
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD E MIDLA DO
Provider Business Mailing Address
First Line : 3660 GUION RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-1691
Country : US
Telephone Number : 317-920-7432
Fax Number : 317-920-7446
Provider Business Practice Location Address
First Line : 3660 GUION RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-1697
Country : US
Telephone Number : 317-920-7432
Fax Number : 317-920-7446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 05/23/2013

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Directions to “ TODD E MIDLA DO” Practice Location

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