Individual
VERNON MAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1111 LIGHTHOUSE LANE, GOSHEN, IN 46526-3824
(574) 533-0348
(574) 533-0277
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02002380A
IN
207V00000X
Obstetrics & Gynecology Physician
6068
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200354410
—
IN
05
—
Q108996
—
TN
Enumeration date
09/07/2005
Last updated
12/17/2025
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