Individual
MARY K CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13121 OLIO RD, SUITE 300, FISHERS, IN 46037-7240
(317) 621-1300
(317) 621-1310
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-1303
(317) 621-1310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056526A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000508596
ANTHEM
IN
05
—
200850400
—
IN
Enumeration date
07/28/2006
Last updated
11/27/2023
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