Individual
JACQUELINE A. MAIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, RR 127, INDIANAPOLIS, IN 46202-5109
(317) 274-8906
(317) 274-4022
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
01057919
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043423247
—
MI
05
—
200871910
—
IN
Enumeration date
05/07/2007
Last updated
03/06/2026
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