Individual
MARK A DEEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 274-0550
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01044341
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063120
—
IN
Enumeration date
04/19/2006
Last updated
10/03/2008
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