Individual
DR. JOHN FREDERICK DOEPKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 LINCOLN AVE, EVANSVILLE, IN 47714-1627
(812) 476-4400
(812) 437-7121
Mailing address
2701 LINCOLN AVE, EVANSVILLE, IN 47714-1627
(812) 476-4400
(812) 437-7121
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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