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Individual

DR. JOHN FREDERICK DOEPKER JR.

Active
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Individual

DR. JOHN FREDERICK DOEPKER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01026516A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01026516A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000851554
BC/BS
IN
05
100248180
IN
05
64754690
KY
Enumeration date
10/17/2006
Last updated
11/08/2021
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