Individual
JON MARK SIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11640 WOODS BAY LN, INDIANAPOLIS, IN 46236-8367
(317) 823-3917
Mailing address
11640 WOODS BAY LN, INDIANAPOLIS, IN 46236-8367
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01038402A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000764714
ANTHEM
IN
05
—
100098900
—
IN
01
—
P01133615
MEDICARE RAILROAD
IN
Enumeration date
07/10/2006
Last updated
12/31/2024
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