Individual
MICHAEL J ECONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 CLINICAL DR # 365, INDIANAPOLIS, IN 46202-5233
(317) 274-0550
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01047229A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01047229
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01047229A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109680
ANTHEM PTAN
IN
05
—
200154980
—
IN
Enumeration date
04/17/2006
Last updated
03/07/2025
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