Individual
MICHELLE WIEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 COMMERCE SQUARE DR STE A, INDIANAPOLIS, IN 46237-9244
(317) 526-4731
Mailing address
5110 COMMERCE SQUARE DR STE A, INDIANAPOLIS, IN 46237-9244
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
10672
NC
231H00000X
Audiologist
Primary
23002844A
IN
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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