Individual
WILFREDO TORRES-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 W WALNUT ST, IB 130, INDIANAPOLIS, IN 46202-5181
(317) 274-3966
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
01040730
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010259
MEDICARE
IN
05
—
200042890
—
IN
Enumeration date
04/24/2006
Last updated
09/29/2022
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