Individual
SUSAN K MAISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 402, INDIANAPOLIS, IN 46260-2053
(317) 338-9450
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01039425A
IN
2080P0206X
Pediatric Gastroenterology Physician
Primary
01039425A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218110
—
IN
Enumeration date
01/23/2006
Last updated
04/27/2015
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