Individual
DR. MARY CATHERINE YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
747 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1081
(317) 789-9600
(317) 789-0600
Mailing address
747 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1081
(317) 789-9600
(317) 789-0600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043991A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01043991A
STATE MEDICAL LICENSE
IN
01
—
01043991B
STATE CSR
IN
Enumeration date
03/08/2006
Last updated
03/07/2023
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