Individual
MICHAEL DAVID INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5255 E STOP 11 RD STE 200, INDIANAPOLIS, IN 46237-6341
(317) 528-1212
(317) 528-1252
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01084932A
IN
2086S0129X
Vascular Surgery Physician
11200113A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
07/07/2025
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