Provider Demographics
NPI:1265663348
Name:MEDLER, JOHN F (M D)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:MEDLER
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 VALLEY VUE CR.
Mailing Address - Street 2:P. O. BOX 288
Mailing Address - City:SAINT ALBANS
Mailing Address - State:MO
Mailing Address - Zip Code:63073-0288
Mailing Address - Country:US
Mailing Address - Phone:636-458-3145
Mailing Address - Fax:
Practice Address - Street 1:171 VALLEY VUE CR.
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:MO
Practice Address - Zip Code:63073-0288
Practice Address - Country:US
Practice Address - Phone:636-458-3145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006004093207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics