Individual
GREGORY J MAZANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10590 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
(317) 338-6666
(317) 338-6066
Mailing address
10590 N MERIDIAN ST, CARMEL, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01060905A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01060905A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200526150
—
IN
01
—
P00367799
RRMC - CARDIOVASCULAR DIAGNOSTIC SERVICES
IN
Enumeration date
03/10/2006
Last updated
07/21/2022
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