Individual
JAMES W EDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 320, FORT WAYNE, IN 46845-1733
(260) 266-5300
(260) 266-5314
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
01029093A
IN
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
01029093A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
01029093A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595625
ANTHEM
IN
01
—
000000614694
ANTHEM
IN
01
—
020037714
RR MEDICARE
IN
05
—
0437807
—
OH
05
—
1000095950A
—
IN
05
—
100095950
—
IN
01
—
280001010
RR MEDICARE
IN
Enumeration date
08/16/2005
Last updated
10/11/2022
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