Individual
MARTHA L YODER MAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2340 E 10TH ST, INDIANAPOLIS, IN 46201-2008
(317) 957-2200
(317) 957-2220
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031314
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100350520
—
IN
Enumeration date
10/05/2005
Last updated
10/10/2014
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