Individual
DR. MICHAEL MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6820 PARKDALE PL, STE. 100, INDIANAPOLIS, IN 46254-6601
(317) 297-7773
(317) 297-3619
Mailing address
8910 PURDUE RD, STE.500, INDIANAPOLIS, IN 46268-3161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01039540
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118880
—
IN
Enumeration date
06/14/2006
Last updated
07/26/2011
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