Individual
NATHANIEL TODNEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 KRESGE WAY STE 51, LOUISVILLE, KY 40207-4683
(502) 259-5955
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
005509
GA
207T00000X
Neurological Surgery Physician
Primary
ME139412
FL
Other
Enumeration date
06/26/2012
Last updated
12/04/2020
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