Individual
MICHAEL JAY RIDDLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 W 16TH ST STE 2364, INDIANAPOLIS, IN 46202-2279
(317) 963-7288
Mailing address
355 W 16TH ST STE 2364, INDIANAPOLIS, IN 46202-2279
(317) 963-7307
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01099287A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
03/31/2023
Last updated
02/27/2026
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