Individual
MICHAEL D BUCKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6845 EAST US HIGHWAY 36, STE 600, AVON, IN 46123-8123
(317) 273-1405
(317) 272-4906
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073529A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11016346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201091950
—
IN
Enumeration date
07/01/2011
Last updated
12/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us