Individual
DR. MATTHEW J. SURBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7825 MCFARLAND LN STE A, INDIANAPOLIS, IN 46237-3630
(317) 888-5500
(317) 887-4806
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01055469A
IN
207V00000X
Obstetrics & Gynecology Physician
01055469A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227806
ANTHEM PIN#
IN
01
—
080189954
MEDICARE RAILROAD #
IN
05
—
200311740G
—
IN
05
—
200405950
—
IN
01
—
7635385
AETNA PIN#
IN
Enumeration date
08/15/2005
Last updated
09/13/2023
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