Individual
AMY K SADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1270 E S.R. 205, SUITE 240, COLUMBIA CITY, IN 46725
(260) 248-9060
(260) 248-8555
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077402A
IN
207Q00000X
Family Medicine Physician
35096613
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H011640
MEDICARE ID
OH
Enumeration date
09/03/2008
Last updated
10/08/2022
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