Individual
JOHN I NURNBERGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7300
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01035550A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139900
—
IN
01
—
260023766
RAILROAD MEDICARE
IN
Enumeration date
05/31/2006
Last updated
01/06/2021
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