Individual
DR. JAMES NICHOLAS TOPOLGUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 W REDDY WAY, BLOOMINGTON, IN 47403-4066
(812) 825-0756
Mailing address
1419 S SARE RD, BLOOMINGTON, IN 47401-4431
(312) 388-8676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01022367A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
544310A
MEDICARE PTAN
IN
Enumeration date
06/30/2005
Last updated
03/25/2025
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