Individual
MR. NICHOLAS CHRIS RETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8053 CLEVELAND PL, MERRILLVILLE, IN 46410-5303
(219) 769-4456
(219) 769-1468
Mailing address
8053 CLEVELAND PL, MERRILLVILLE, IN 46410-5303
(219) 769-4456
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01026350
IN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
01026350
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000184599
ANTHEM
IN
05
—
100339140A
—
IN
Enumeration date
11/16/2006
Last updated
08/14/2009
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