Individual
JAMES W EDLUND
Active
Individual
JAMES W EDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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