Individual
MICHAEL JAY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14828 GREYHOUND CT STE 100, CARMEL, IN 46032-5016
(317) 582-9200
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035570A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100335740
—
IN
Enumeration date
11/23/2005
Last updated
10/16/2014
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