Individual
MICHAEL ROBERT DORWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3417
Mailing address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3417
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01064446A
IN
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
01064446A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
01064446A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000715005
ANTHEM
IN
01
—
01064446A
STATE LICENSE NUMBER
IN
05
—
201020000
—
IN
01
—
M400046439
MEDICARE PTAN
IN
Enumeration date
05/14/2007
Last updated
05/19/2025
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