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NPI Code Detail

MEDICARE: DR. JOHN FREDERICK DOEPKER JR. M.D.

MEDICARE:  DR. JOHN FREDERICK DOEPKER JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician01026516AIN
22086S0122XPlastic and Reconstructive Surgery Physician01026516AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000851554OTHERINBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437239746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN FREDERICK DOEPKER JR. M.D.
Provider Business Mailing Address
First Line : 2701 LINCOLN AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-1627
Country : US
Telephone Number : 812-476-4400
Fax Number : 812-437-7121
Provider Business Practice Location Address
First Line : 2701 LINCOLN AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-1627
Country : US
Telephone Number : 812-476-4400
Fax Number : 812-437-7121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 11/08/2021

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Directions to “ DR. JOHN FREDERICK DOEPKER JR. M.D.” Practice Location

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