Individual
MARY E BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
545 BARNHILL DR, EH 435, INDIANAPOLIS, IN 46202-5112
(317) 274-3960
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01043261
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200120390
—
IN
Enumeration date
04/21/2006
Last updated
07/08/2007
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