Provider Demographics
NPI:1447665559
Name:WESSEL, ANNE RONEY (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:RONEY
Last Name:WESSEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:KAITLIN
Other - Last Name:RONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5811 KINGSLEY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2712
Mailing Address - Country:US
Mailing Address - Phone:808-542-2788
Mailing Address - Fax:
Practice Address - Street 1:5811 KINGSLEY DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-2712
Practice Address - Country:US
Practice Address - Phone:808-542-2788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01076981A208M00000X, 2084P0800X
IN11017891A390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program