Individual
MICHAEL W RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 274-8800
Mailing address
545 BARNHILL DR, EH125, INDIANAPOLIS, IN 46202-5112
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01061401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000385017
ANTHEM
IN
05
—
100069170
—
IN
01
—
P00742289
RAILROAD MEDICARE PTAN
IN
Enumeration date
07/27/2006
Last updated
09/28/2011
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