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Organization

MERIDIAN PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL MAUZREK M.D. (PHYSICIAN)
(317) 844-5351
Entity
Organization

Contact information

Practice address
12065 OLD MERIDIAN ST, SUITE 100, CARMEL, IN 46032-8773
(317) 844-5351
Mailing address
12065 OLD MERIDIAN ST, SUITE 100, CARMEL, IN 46032-8773

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01043902
IN

Other

Enumeration date
11/06/2008
Last updated
11/06/2008
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