Individual
NICHOLAS WERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-2345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11012167A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200859530
—
IN
Enumeration date
05/12/2007
Last updated
09/20/2011
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