Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icem-Wishard LLC

Organization Emergency Medicine Physician · NPI 1629304134

Icem-Wishard LLC is an Emergency Medicine Physician in Indianapolis, Indiana. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 W 10th St
Indianapolis, IN 46202-2859
Phone: (317) 630-7276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1629304134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Braun — Administrator · (317) 630-7276
NPI enumeratedOctober 19, 2009
Last updated in NPPESOctober 19, 2009
Mailing address1050 Wishard Blvd, Suite R2200, Indianapolis, IN 46202-2872

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