Individual
DR. JOHN M WO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD STE 1710, INDIANAPOLIS, IN 46202-5149
(317) 944-0980
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01069927A
IN
207RG0100X
Gastroenterology Physician
32553
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000725454
ANTHEM
IN
05
—
200104620
—
IN
05
—
64325533
—
KY
Enumeration date
08/24/2005
Last updated
03/15/2025
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