Individual
JAMES SERTL
Active
Individual
JAMES SERTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30587
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010036
ESSENCE
MO
01
—
0400282
UHC
MO
01
—
100623
BCBS
MO
01
—
127491
GHP
MO
01
—
136657
HEALTHLINK
MO
01
—
2193977
AETNA US
MO
01
—
5606453
AETNA
—
01
—
D83432
MERCY
MO
Enumeration date
11/10/2005
Last updated
03/18/2008
Update your record
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