Individual
MICHAEL T JEDLINSKI
Active
Individual
MICHAEL T JEDLINSKI
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
R5H98
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178522
HEALTHLINK
—
05
—
1962421750
—
IL
05
—
202544607
—
MO
01
—
603532
ANTHEM BCBS
MO
01
—
P00779923
RR MCR
MO
Enumeration date
07/19/2006
Last updated
03/01/2021
Update your record
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