Provider Demographics
NPI:1245275213
Name:DAY, MICHAEL E (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:950 N MERIDIAN STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-3908
Mailing Address - Country:US
Mailing Address - Phone:317-963-5139
Mailing Address - Fax:317-962-4950
Practice Address - Street 1:8820 S MERIDIAN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-6058
Practice Address - Country:US
Practice Address - Phone:317-865-6750
Practice Address - Fax:317-865-6759
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2024-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01025630207Q00000X
IN01025630A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100330590Medicaid
INE06452Medicare UPIN
IN264430SSMedicare PIN
INP00859127Medicare PIN
IN100330590Medicaid