Individual
DR. JOHN J WERNERT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4420 DIXIE HWY STE 114, LOUISVILLE, KY 40216-2986
(502) 449-6464
(502) 449-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01035237A
IN
2084P0805X
Geriatric Psychiatry Physician
01035237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211330
ANTHEM
IN
05
—
100134210A
—
IN
Enumeration date
02/10/2006
Last updated
10/29/2020
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