Individual
MARY ANNE PRYZMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
(317) 621-7608
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01036522
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100132800
—
IN
05
—
PR50516
—
IN
Enumeration date
05/08/2007
Last updated
10/05/2022
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