Individual
DR. MATTHEW A. ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N SENATE BLVD, STE 635, INDIANAPOLIS, IN 46202-1212
(317) 963-1400
(317) 963-1453
Mailing address
250 N SHADELAND AVE, STE 130, PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01063181A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000728404
ANTHEM PIN
IN
05
—
201029730
—
IN
Enumeration date
05/21/2008
Last updated
07/07/2014
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