Individual
TOBY ANNETTE MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 944-7744
(317) 944-7051
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01086233A
IN
207N00000X
Dermatology Physician
A45876
CA
207Q00000X
Family Medicine Physician
A45876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A458760
—
CA
Enumeration date
11/21/2006
Last updated
07/19/2021
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