Individual
MICHAEL STEVEN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-5000
Mailing address
1302 LEXINGTON AVE, INDIANAPOLIS, IN 46203-1111
(317) 850-4015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01076840A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00288130
RAILROAD MEDICARE
IN
Enumeration date
04/01/2013
Last updated
07/08/2022
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