Individual
MICHAEL WIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD, SUITE #324, INDIANAPOLIS, IN 46260-2074
(317) 338-3708
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-3116
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
01037480
IN
Other
Enumeration date
08/25/2006
Last updated
10/19/2007
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