Individual
WESLEY THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
440123
PA
208M00000X
Hospitalist Physician
Primary
440123
PA
Other
Enumeration date
01/26/2007
Last updated
04/05/2024
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