Individual
DR. WADE GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2040 N SHADELAND AVE STE 220, INDIANAPOLIS, IN 46219-2890
(317) 355-1435
Mailing address
2040 N SHADELAND AVE STE 220, INDIANAPOLIS, IN 46219-2890
(317) 355-1435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125075903
IL
208600000X
Surgery Physician
LL82357
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
01091492A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300080312
—
IN
Enumeration date
06/10/2019
Last updated
09/11/2023
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