Individual
MICHAEL L BAACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13050 PARKSIDE DR, SUITE 200, FISHERS, IN 46038-8247
(317) 621-6300
(317) 621-6310
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-6333
(317) 621-6310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01040531A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312976
ANTHEM
IN
05
—
200007440
—
IN
01
—
P00082854
MEDICARE RAILROAD
IN
Enumeration date
07/31/2006
Last updated
11/27/2023
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