Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 01049875A | IN |
N | 207VX0201X | Gynecologic Oncologist | 4301075354 | MI |
NPI | 1437153913 |
---|---|
Provider Name | Michael W Method |
First Address | Indianapolis, IN 46250-2805 |
Second Address | Indianapolis, IN 46250-2042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 03/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10-4366197 | (05) | MI |
200234660A | (05) | IN |
G64935 | (02) | |
P01751328 | RR MEDICARE (01) | IN |