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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538926811

Michael Walter Wildman, ND is an Addiction (Substance Use Disorder) Counselor in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

5602 Caito Dr
Indianapolis, IN 46226-1346
Phone: (317) 942-3102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ND20250213 (IN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538926811
Entity typeIndividual (Type 1)
GenderMale
Credentials ND
Sole proprietorYes
NPI enumeratedMarch 4, 2024
Last updated in NPPESOctober 19, 2025
Certification dateOctober 19, 2025

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