Doctor Name: | JOHN L MARKERT |
NPI Number: | 1003922923 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01057181A |
Business Practice Address: | 610 Audubon Medical Plaza Louisville, KY - 40217 |
Business Phone Number: | 5026357455 |
Business Fax Number: | 5026349296 |
Mailing Address: | 610 Audubon Medical Plaza, LOUISVILLE |
State: | KY |
Postal Code: | 40217 |
Phone Number: | 5026357455 |
Fax Number: | 5026349296 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01057181A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |