Individual
DOUGLAS JOHN FEDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4665 N US HIGHWAY 31, COLUMBUS, IN 47201-8558
(812) 376-9353
Mailing address
4665 N US HIGHWAY 31, COLUMBUS, IN 47201-8558
(812) 376-9353
(812) 376-3757
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01057258
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000279343
ANTHEM
IN
01
—
022011
SIHO
IN
05
—
200430770
—
IN
01
—
P00035877
RAILROAD MEDICARE
IN
Enumeration date
06/23/2006
Last updated
12/05/2025
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