Central Indiana Gastroenterology Group Pc | |
2020 Meridian Street Suite 340 Anderson IN 46016-4349 | |
(765) 646-8477 | |
(765) 649-0014 |
Full Name | Central Indiana Gastroenterology Group Pc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 2020 Meridian Street, Anderson, Indiana |
Authorized Official Name and Position | Jon M Maier (PRESIDENT) |
Authorized Official Contact | 7656468477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Central Indiana Gastroenterology Group Pc 2020 Meridian Street Suite 340 Anderson IN 46016-4349 Ph: (765) 646-8477 | Central Indiana Gastroenterology Group Pc 2020 Meridian Street Suite 340 Anderson IN 46016-4349 Ph: (765) 646-8477 |
NPI Number | 1760576490 |
---|---|
Provider Enumeration Date | 10/03/2006 |
Last Update Date | 08/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760576490 | NPI | - | NPPES |
65936270 | Medicaid | KY | |
CM2269 | Other | IN | MEDICARE RAILROAD |
CE9088 | Other | IN | MEDICARE RAILROAD |
100171370 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (Indiana) | Primary |
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