Individual
MICHAEL JOSEPH SHUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(317) 838-4751
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01057154A
IN
207P00000X
Emergency Medicine Physician
Primary
16777
NV
207P00000X
Emergency Medicine Physician
35072084
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200219280
—
IN
05
—
2068935
—
OH
01
—
264430F05
MEDICARE
IN
05
—
6496214500
—
KY
Enumeration date
06/20/2005
Last updated
08/22/2024
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