Matthew R Wanner
Medical Specialty
Professional ID
- NPI: 1134142300
- PECOS ID: 3870521479
- Enrollment ID: I20050803000513
- Credential(MD, DO, DPM): MD
- Medical School: Indiana University School Of Medicine
- Medical School Graduation Year: 2000
Hospital Service
- Hospital CCN1: 150056
- Business Name (LBN)1: Indiana University Health
Medical Practices
- Organization Name: Indiana University Radiology Associates, Inc
- Group Practice ID assigned by PECOS: 7315922267
- Number of Group Practice member: 138
Location
- Address1: 1001 W 10th St
- Address2:
- City: Indianapolis
- State: Indiana
- Zip Code: 46202
- Phone Number: (317)630-7382
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):