Individual
MICHAEL E RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5302 E HILL DR, INDIANAPOLIS, IN 46226-1929
(317) 517-3030
Mailing address
6950 HILLSDALE CT, ATTN: CAROL GORBETT, INDIANAPOLIS, IN 46250-2040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
05
—
1386731925
—
IN
Enumeration date
10/06/2006
Last updated
06/17/2015
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