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David J Licini, MD
Orthopedic Surgery Physician in Bloomington, Indiana
NPI 1801086343

David J Licini is a Orthopedic Surgery Physician based in Indianapolis, IN. David J Licini practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for David J Licini is 1801086343 and holds a License No. 01071339A (Indiana).

The current practice location address for David J Licini is 1302 S Rogers St, Bloomington, IN and can be reached out via phone at 812-333-2663 and via fax at 812-676-4131. You can also correspond with David J Licini through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 1302 S Rogers St, Bloomington, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801086343
Provider Name
David J Licini
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1302 S Rogers St, Bloomington, IN, 46219-4959
Phone Number
812-333-2663
Fax Number
812-676-4131
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201119230 05 IN
institution
Provider Business Practice Location Address Details
Address
1302 S Rogers St
City
Bloomington
State
Indiana
Zip
47403-4752
Phone Number
812-333-2663
Fax Number
812-676-4131
person
Provider Business Mailing Address Details
Address
250 N Shadeland Ave
City
Indianapolis
State
Indiana
Zip
46219-4959
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
01071339A (Indiana)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Adult Reconstructive Orthopedic Surgery
Taxonomy
207XS0114X
License No.
01071339A (Indiana)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, adult reconstructive orthopedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
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