Michael Walter Wildman, ND is a
Family Medicine based in Indianapolis, Indiana. Michael Walter Wildman is licensed to practice in Indiana (license number ND20250213) and his current practice location is
5602 Caito Dr, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 942-3102.
NPI number for Michael Walter Wildman is 1538926811 and his current mailing address is 1138 Chattanooga Cir, Indianapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538926811.
Healthcare Provider's Profile
| Full Name | Michael Walter Wildman |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 5602 Caito Dr, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538926811
- Provider Enumeration Date: 03/04/2024
- Last Update Date: 09/01/2025
Medical Identifiers
Medical identifiers for Michael Walter Wildman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538926811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | ND20250213 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Walter Wildman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Walter Wildman, ND
1138 Chattanooga Cir,
Indianapolis, IN 46229-9611
Ph: (812) 298-4841 | Michael Walter Wildman, ND
5602 Caito Dr,
Indianapolis, IN 46226-1346
Ph: (317) 942-3102 |
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