Individual
DANIEL E WERTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, RADIOLOGY DEPT, INDIANAPOLIS, IN 46202-5149
(317) 278-9729
Mailing address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6401
(317) 715-6454
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101231930
VA
2085R0202X
Diagnostic Radiology Physician
Primary
01062498
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000556662
ANTHEM BCBS
IN
05
—
200844700
—
IN
01
—
P00396800
RAILROAD MEDICARE
IN
01
—
P00742728
RAILROAD MEDICARE
IN
Enumeration date
08/05/2006
Last updated
06/20/2011
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