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Individual

DR. NIELS W LADINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3221 S MEMORIAL DR, SUITE C, NEW CASTLE, IN 47362-1123
(765) 529-5300
(765) 593-0743
Mailing address
8651 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1578
(317) 931-0664
(317) 931-0797

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000966A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200441030
IN
Enumeration date
05/19/2006
Last updated
03/30/2009
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