Individual
DR. MICHAEL B PRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N SENATE BLVD, SUITE 535, INDIANAPOLIS, IN 46202-1291
(317) 396-1300
(317) 396-1346
Mailing address
8333 NAAB RD, SUITE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 396-1346
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01041412
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000638987
ANTHEM BLUE CROSS AND BLUE SHIELD
IN
05
—
100322860
—
IN
Enumeration date
05/27/2005
Last updated
02/17/2011
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