Individual
DR. PAUL JOSEPH NIZIOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
714 N SENATE AVE STE 100, INDIANAPOLIS, IN 46202
(317) 963-0156
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01079852A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014345
—
IN
01
—
959090071
MEDICARE
IN
Enumeration date
03/21/2012
Last updated
12/19/2022
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