Individual
DANIEL WIKSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13050 PARKSIDE DR STE 101, FISHERS, IN 46038-8247
(317) 621-2290
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01046245
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200128640
—
IN
Enumeration date
08/12/2006
Last updated
11/08/2024
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