Organization
MEDICAL SPECIALISTS OF MADISON COUNTY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C MARES MD (PRESIDENT)
(765) 643-6012
Entity
Organization
Contact information
Practice address
2101 JACKSON ST STE 110, ANDERSON, IN 46016-4386
(765) 643-6012
(765) 646-9054
Mailing address
2101 JACKSON ST, SUITE 110, ANDERSON, IN 46016-4386
(765) 643-6012
(765) 646-9054
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200322260A
—
IN
Enumeration date
07/11/2006
Last updated
12/19/2024
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