Individual
MICHELLE YVETTE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8081 TOWNSHIP LINE RD STE 203, INDIANAPOLIS, IN 46260-2189
(317) 415-8100
Mailing address
8081 TOWNSHIP LINE RD STE 203, INDIANAPOLIS, IN 46260-2189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
18817
MS
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01089581A
IN
207VM0101X
Maternal & Fetal Medicine Physician
18817
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01188743
—
MS
05
—
08103071
—
MS
01
—
512I160026
MEDICARE PTAN
MS
Enumeration date
05/03/2007
Last updated
03/29/2023
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