# MEDICAL EVALUATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518179167
- **Authorized official:** MR. DOUGLAS WREGE (SOLE PROPRIETOR ADMINISTRATOR)
- **Authorized official phone:** (317) 283-8113

## Contact information

- **Practice address:** 3833 N MERIDIAN ST, SUITE 10, INDIANAPOLIS, IN 46208-4039
- **Practice address phone:** (317) 283-8113
- **Mailing address:** 3833 N MERIDIAN ST, SUITE 10, INDIANAPOLIS, IN 46208-4039
- **Mailing address phone:** (317) 283-8113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 01056999A | IN | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200519320 | — | IN |