Individual
DR. MICHAEL TIMOTHY SPEARS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 W MICHIGAN ST # FH204, INDIANAPOLIS, IN 46202-5209
(317) 460-1093
Mailing address
5312 PUEBLO CT, CARMEL, IN 46033-8856
(317) 460-1093
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01089830A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300-32010
—
IN
Enumeration date
03/29/2021
Last updated
06/06/2025
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