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Individual

DR. RUTH ELLEN MAXSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8557 OLDE MILL TRCE, INDIANAPOLIS, IN 46260-5304
(317) 695-5279
Mailing address
8557 OLDE MILL TRCE, INDIANAPOLIS, IN 46260-5304
(317) 695-5279

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
01031080
IN

Other

Enumeration date
03/26/2009
Last updated
03/26/2009
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