Individual
MR. EVAN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10330 N MERIDIAN ST STE 201, CARMEL, IN 46290-1024
(317) 338-6234
Mailing address
10330 N MERIDIAN ST STE 201, CARMEL, IN 46290-1024
(317) 338-6234
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01081973A
IN
207L00000X
Anesthesiology Physician
01081973B
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
06/30/2021
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