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Individual

LOUIS MICHAEL WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8321 TEQUISTA CIR, INDIANAPOLIS, IN 46236-8816
(317) 690-9764
Mailing address
8321 TEQUISTA CIR, INDIANAPOLIS, IN 46236-8816
(317) 690-9764

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034577B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000316527
ANTHEM
IN
05
100068010
IN
01
300168515
PROHEALTH
IN
01
300168515 GROUP #30
FEDERAL ID NO.
IN
01
M400035621
MCE PTAN
IN
01
P00094121
RR MEDICARE
IN
01
P00971680
RRMCE PTAN
IN
01
RR MCARE
214530B
IN
Enumeration date
07/07/2005
Last updated
03/31/2026
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