Individual
MAX EDWARD DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1331 STATE ST, LA PORTE, IN 46350-3112
(219) 326-1234
Mailing address
1331 STATE ST, LA PORTE, IN 46350-3112
(219) 326-1234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10005019A
IN
363AM0700X
Medical Physician Assistant
Primary
—
IN
Other
Enumeration date
09/04/2025
Last updated
11/24/2025
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