Individual
MICAH BRONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1134 N MOUNT ST, INDIANAPOLIS, IN 46222-3151
(463) 206-7760
Mailing address
4120 ANSAR LN, INDIANAPOLIS, IN 46254-3123
(463) 206-7760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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