Individual
DR. JEFFREY MATTHEW HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 W 10TH ST, SUITE 6200, INDIANAPOLIS, IN 46202-3082
(317) 274-8157
Mailing address
310 W. MICHGAN ST., APT. 424, INDIANAPOLIS, IN 46202-3204
(303) 579-3959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01072078A
IN
207P00000X
Emergency Medicine Physician
2014027702
MO
207P00000X
Emergency Medicine Physician
69179
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097919
—
WI
01
—
11015714A
RESIDENT MEDICAL PERMIT
IN
Enumeration date
06/29/2010
Last updated
01/22/2025
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