Individual
MICHAEL W METHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7979 N SHADELAND AVE, STE 310, INDIANAPOLIS, IN 46250-2042
(317) 621-3780
(317) 621-3088
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
01049875A
IN
207VX0201X
Gynecologic Oncology Physician
4301075354
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4366197
—
MI
05
—
200234660A
—
IN
01
—
P01751328
RR MEDICARE
IN
Enumeration date
06/13/2005
Last updated
05/03/2017
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