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NPI Code Detail

MEDICARE: MARY MEISTER MD

MEDICARE: MARY MEISTER MD
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
1208000000XPediatrics Physician01100448AIN

General Provider Information

NPI Number : 1639922305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MEISTER MD
Provider Business Mailing Address
First Line : 705 RILEY HOSPITAL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 705 RILEY HOSPITAL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5109
Country : US
Telephone Number : 317-944-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 06/10/2026

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Directions to “ MARY MEISTER MD” Practice Location

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