Individual
DR. JASON P MEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3241
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01064825A
IN
207P00000X
Emergency Medicine Physician
4301085526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569895
ANTHEM BC/BS
IN
01
—
000000627041
ANTHEM BC/BS
IN
01
—
000000741695
ANTHEM BCBS
IN
05
—
200902570
—
IN
01
—
P00711994
RAILROAD MEDICARE
IN
01
—
P00742245
RAILROAD MEDICARE
IN
01
—
P00841063
RAILROAD MEDICARE
IN
Enumeration date
06/06/2007
Last updated
02/13/2021
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