Individual
WILLIAM LOUIS MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9129 LOG RUN DR S, INDIANAPOLIS, IN 46234-1343
(317) 291-7862
Mailing address
9129 LOG RUN DR S, INDIANAPOLIS, IN 46234-1343
(317) 291-7862
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01037069A
IN
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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