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

Dr. Malcolm Thomas Wiseman Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912791534

Dr. Malcolm Thomas Wiseman Jr., MD is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Registered with an NPI since 2025.

In the registry since
2025
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

1160 W Michigan St
Indianapolis, IN 46202-5209
Phone: (317) 274-2128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912791534
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

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