Individual
DR. JOHN RICHARD HLADIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
411 PLAZA DR STE H, COLUMBUS, IN 47201
(812) 372-6274
(812) 372-9357
Mailing address
411 PLAZA DR STE H, COLUMBUS, IN 47201-2918
(812) 372-6274
(812) 372-9357
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00700873
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093267
BLUE SHIELD
IN
05
—
200183180A
—
IN
01
—
352059940
WORKERS COMPENSATION
IN
01
—
480030668
RAILROAD MEDICARE
—
Enumeration date
06/16/2005
Last updated
12/04/2019
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