Individual
MARK A. MEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6433
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01060379A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01060379A
IN
207UN0901X
Nuclear Cardiology Physician
01060379A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363553
ANTHEM
IN
05
—
200515510
—
IN
05
—
2639845
—
OH
01
—
P00239866
RAILROAD
—
01
—
P00783750
RAILROAD
IN
Enumeration date
01/23/2006
Last updated
09/29/2020
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