Wildman, Michael Walter

Wildman, Michael Walter is an sole proprietor health care provider with primary practice located at 5602 Caito Dr , Indianapolis IN 46226-1346. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wildman, Michael Walter can be contacted via phone (317) 942-3102.

Contact Information

Primary practice address
5602 Caito Dr Indianapolis IN 46226-1346
Phone: (317) 942-3102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ND20250213 Indiana

Profile Details

NPI number 1538926811
LBN Legal business name Wildman, Michael Walter
Credentials N.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2024
Last updated Oct 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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