MICHAEL ANTHONY ACQUAVIVA

INDIANAPOLIS, IN
NPI1972765444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LP3000X Anesthesiology Pediatric Anesthesiology
(Licence: IN  01066743A)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IL  036.119149)
Enumeration Date2008-06-26
Last Update Date2020-11-17
Business Address
MICHAEL ANTHONY ACQUAVIVA M.D.
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-9981
Mailing Address
MICHAEL ANTHONY ACQUAVIVA M.D.
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: