Individual
DR. ROBERT G MEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
103318
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900509
UNITED HEALTHCARE
MO
01
—
100045
BLUE CROSS BLUE SHIELD
MO
01
—
200023667
RAILROAD MEDICARE
MO
05
—
208615500
—
MO
01
—
290278
HEALTHLINK
MO
01
—
52093
GROUP HEALTH PLAN
MO
01
—
5840245
AETNA
MO
01
—
7442012001
CIGNA
MO
Enumeration date
05/11/2006
Last updated
07/17/2019
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