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Individual

MATTHEW BENJAMIN MAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 MEDICAL DRIVE, #101, CARMEL, IN 46032-2990
(317) 415-6350
Mailing address
310 MEDICAL DRIVE, #101, CARMEL, IN 46032-2990

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01067732A
IN
207Q00000X
Family Medicine Physician
46124
TN

Other

Enumeration date
02/25/2008
Last updated
08/21/2024
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