Individual
MARIJA PETROVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12188A N MERIDIAN ST STE 365, CARMEL, IN 46032-4407
(317) 621-2780
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02008019A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11023118A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300076284
—
IN
Enumeration date
04/03/2023
Last updated
06/11/2026
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