Individual
JIAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1949 HOSPITAL DR, MARTINSVILLE, IN 46151-1861
(765) 342-0539
(765) 342-3413
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01056719A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200391020
—
IN
Enumeration date
10/12/2005
Last updated
12/17/2020
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