Individual
WESLEY LUKE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 278-2686
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11019577A
IN
Other
Enumeration date
06/20/2017
Last updated
06/06/2024
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