Individual
MICHAEL W CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 TRAFALGAR SQ, TRAFALGAR, IN 46181-9515
(317) 412-9190
(317) 878-2302
Mailing address
14 TRAFALGAR SQ, TRAFALGAR, IN 46181-9515
(317) 412-9190
(317) 878-2302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032024A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341295
BLUE CROSS/BLUE SHIELD
IN
05
—
100153910A
—
IN
Enumeration date
06/28/2006
Last updated
07/18/2025
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