Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN JULIUS ANDERSEN, DO
ActiveNephrology · AVON, IN
Registration Details
- NPI Number
- 1669406237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (19.848730491162 yrs)
- Last Updated
- Mar 5, 2025
- Licenses
-
200600754 (NC)02003131A (IN)02003131A (IN)
Practice Information
- Address
-
1115 RONALD REAGAN PKWY STE 206AVON, IN, 461236911Browse IN providers · Browse ZIP 46123
- Phone
- 3172172200
- Fax
- 3172172205
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Nephrology
Other Nephrology Providers in AVON, IN
| Name | Credential | NPI |
|---|---|---|
| ANTOINETTE A MENSAH | MD | 1205047107 |
| MR. CHAD A ZARSE | M.D. | 1366677320 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.