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Individual

MR. JON MICHAEL MAIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 MEDICAL ARTS BLVD, SUITE 102, ANDERSON, IN 46011-3458
(765) 298-4720
(765) 298-4958
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1027816
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000085347
ANTHEM
IN
05
00317990A
IN
05
100317990
IN
01
110004270
TCARE
01
110152365
RAILROAD
05
64042385
KY
01
P01588246
RR MEDICARE
IN
Enumeration date
10/03/2006
Last updated
11/27/2023
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