Individual
DR. DANA J DISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 MIDDLETOWN PARK PL, SUITE C, LOUISVILLE, KY 40243-2515
(502) 244-9858
Mailing address
301 MIDDLETOWN PARK PL, SUITE C, LOUISVILLE, KY 40243-2515
(502) 244-9858
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
28883
KY
Other
Enumeration date
12/27/2005
Last updated
03/12/2014
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