Individual
DR. MARK EDWIN ESTERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4003 KRESGE WAY, SUITE 312, LOUISVILLE, KY 40207-4652
(502) 899-7377
(502) 899-1972
Mailing address
4003 KRESGE WAY, SUITE 312, LOUISVILLE, KY 40207-4652
(502) 899-7377
(502) 899-1972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01063119A
IN
207R00000X
Internal Medicine Physician
41010
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
41010
KY
207RP1001X
Pulmonary Disease Physician
Primary
41010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000558682
ANTHEM
KY
Enumeration date
02/02/2007
Last updated
05/02/2024
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