Individual
ESTER P J VAN DER WAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 S SAINT LOUIS BLVD, SOUTH BEND, IN 46617-2924
(574) 233-3123
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01053280
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374875
ANTHEM BCBS
IN
05
—
200522070
—
IN
01
—
P00742719
RAILROAD MEDICARE
IN
Enumeration date
06/06/2006
Last updated
02/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us