Organization
DR N W WORDEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON WILLIAM WORDEN DPM (PRESIDENT)
(574) 258-5060
Entity
Organization
Contact information
Practice address
2206 LINCOLNWAY E, MISHAWAKA, IN 46544-3301
(574) 258-5060
(574) 258-5076
Mailing address
2206 LINCOLN WAY E, MISHAWAKA, IN 46544-3301
(574) 258-5060
(574) 258-5076
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
07000536A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200928250A
—
IN
01
—
DP2429
RAILROAD MEDICARE
IN
Enumeration date
04/15/2007
Last updated
01/14/2010
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