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NPI Code Detail

MEDICARE: MARY ANN MEYER JONES M.D.

MEDICARE: MARY ANN MEYER JONES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician01046381AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073525200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ANN MEYER JONES M.D.
Provider Business Mailing Address
First Line : 2022 KELLE DR
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-8708
Country : US
Telephone Number : 219-462-0909
Fax Number : 219-462-9910
Provider Business Practice Location Address
First Line : 2022 KELLE DR
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-8708
Country : US
Telephone Number : 219-462-0909
Fax Number : 219-462-9910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 07/10/2019

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