Individual
JEFFREY A WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13100 136TH STREET, SUITE 1200, FISHERS, IN 46037-9748
(317) 678-3100
(317) 678-3108
Mailing address
950 N MERIDIAN ST, STE 500 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46204-3908
(317) 962-4945
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01039503
IN
208000000X
Pediatrics Physician
Primary
01039503
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100464300
—
IN
Enumeration date
06/16/2006
Last updated
06/11/2012
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