Individual
MARK W MEDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,B.S.
Contact information
Practice address
2517 E STATE ROAD 44, SHELBYVILLE, IN 46176-1884
(317) 398-9355
Mailing address
2517 E STATE ROAD 44, SHELBYVILLE, IN 46176-1884
(317) 398-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001803A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20018200A
—
IN
Enumeration date
11/10/2006
Last updated
07/08/2007
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