Individual
MICHAEL A LITWILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2620 KESSLER BOULEVARD EAST DR, STE 210, INDIANAPOLIS, IN 46220-2890
(317) 475-6200
(317) 475-6212
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01036515
IN
2084P0800X
Psychiatry Physician
Primary
01036515A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176440A
—
IN
01
—
P00887152
RAILROAD MEDICARE
IN
Enumeration date
06/16/2006
Last updated
12/04/2020
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