Individual
DR. MICHAEL JON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1633 N CAPITOL AVE, METHODIST TOWER, SUITE 640, INDIANAPOLIS, IN 46202-1261
(402) 617-4338
Mailing address
1633 N CAPITOL AVE, METHODIST TOWER, SUITE 640, INDIANAPOLIS, IN 46202-1261
(402) 617-4338
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01079650A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013539
—
IN
Enumeration date
05/21/2012
Last updated
02/01/2021
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