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

Dr. Eric D Wallisa, MD

Individual provider Family Medicine Physician · NPI 1255309720

Dr. Eric D Wallisa, MD is a Family Medicine Physician in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5955 S Emerson Ave 100
Indianapolis, IN 46237-2525
Phone: (317) 789-9600
Fax: (317) 789-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01054688A (IN)

Record details

NPI number1255309720
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 10, 2006
Last updated in NPPESMarch 7, 2023
Mailing address5955 S Emerson Ave, 100, Indianapolis, IN 46237-2525

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