Individual
WILLIAM WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 NAAB RD STE 320, INDIANAPOLIS, IN 46260-1983
(317) 338-3000
(317) 583-3099
Mailing address
100 WOODRUFF CIRCLE, EMORY SCHOOL OF MEDICINE, SUITE 327, ATLANTA, GA 30322
(404) 727-5658
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01097512A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
TP576
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP576
KY LICENSE
KY
Enumeration date
10/23/2014
Last updated
09/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us