Individual
MARY K ECKERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 N CAPITOL AVE # NPE140, INDIANAPOLIS, IN 46202-1218
(317) 962-2894
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01078462A
IN
208000000X
Pediatrics Physician
01078462A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2013
Last updated
07/01/2022
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