Individual
DOUGLAS J HATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6680
(270) 825-7266
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 436-7280
(812) 436-7290
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01039937A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
26004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109184
BCBS
IN
05
—
100180600
—
IN
05
—
64260045
—
KY
01
—
K285580
MEDICARE
KY
Enumeration date
03/14/2006
Last updated
06/21/2019
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