Individual
MICHAEL LENWOOD BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 HADLEY RD, MOORESVILLE, IN 46158-1737
(317) 584-3454
(317) 584-3435
Mailing address
8051 S EMERSON AVE, SUITE 400, INDIANAPOLIS, IN 46237-8600
(317) 865-3600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01032979A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191150
—
IN
Enumeration date
09/20/2005
Last updated
03/07/2018
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