David J Licini, MD

NPI #1801086343 in Bloomington, Indiana

Provider Information

NPI Number: 1801086343
Entity Type: Individual
Name: David J Licini, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Jul 31, 2007
Last Updated: Oct 27, 2021

Practice Location

Address: 1302 S ROGERS ST
City: Bloomington
State: Indiana
ZIP Code: 47403-4752
Phone: (812) 333-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery — Adult Reconstructive Orthopaedic Surgery	207XS0114X
Orthopaedic Surgery	207X00000X	Primary

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