Organization
PROFESSIONAL DEVELOPMENT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. WERNERT III M.D. (PRESIDENT)
13174455016
Entity
Organization
Contact information
Practice address
1776 SUMMERLAKES CT, CARMEL, IN 46032-9679
(888) 822-9732
(888) 822-9732
Mailing address
1776 SUMMERLAKES CT, CARMEL, IN 46032-9679
(888) 822-9732
(888) 822-9732
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
01035237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134210A
—
IN
01
—
1851364780
PERSONAL NPI - DR. WERNERT
—
Enumeration date
11/09/2010
Last updated
11/09/2010
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