Individual
MICHAEL T EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7199 EASY ST, FISHERS, IN 46038-2641
(317) 415-6110
Mailing address
7199 EASY ST, FISHERS, IN 46038-2641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003038A
IN
207Q00000X
Family Medicine Physician
5101012626
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200807450
—
IN
05
—
4540290
—
MI
Enumeration date
05/31/2005
Last updated
11/21/2024
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